盐酸利多卡因胶浆对Ⅱ～Ⅲ期压疮患者局部疼痛的疗效观察

Effects of lidocaine hydrochloride mucilage for local pain in patients with grade Ⅱ and Ⅲ pressure ulcer

目的探讨盐酸利多卡因胶浆在缓解Ⅱ~Ⅲ期压疮患者局部疼痛中的应用效果。方法 60例Ⅱ~Ⅲ期压疮患者随机分为观察组和对照组,各30例。对照组常规压疮护理,观察组在对照组基础上配合应用2%利多卡因胶浆涂抹。观察2组疼痛程度及护理满意度。结果入院1周和2周后2组疼痛强度量表(NRS)评分均降低,观察组NRS评分低于对照组(P<0.05)。2组护理满意度差异无统计学意义(P>0.05)。结论利多卡因胶浆湿敷压疮患者,可缓解患者疼痛程度,对促进伤口愈合具有积极作用。

Objective To investigate the effect of 2% lidocaine hydrochloride mucilage for local pain in patients with grade Ⅱ and Ⅲ pressure ulcer. Methods Totally 60 patients with grade Ⅱ and Ⅲ pressure ulcer were randomly divided into observation group and the control group,with 30 cases in each group. Both two groups received routine care on pressure score,and the 2% lidocaine hydrochloride mucilage was applied in the observation group additionally. The pain degree of patients and the satisfaction degree on nursing service were evaluated and compared between two groups. Results Patients in both two groups achieved a lower numerical rating scale( NRS) on pain degree at first and second week after admission,and NRS in the observation group was lower than that of controls( P < 0. 05). There was no significant difference in nursing satisfaction degree between two groups( P > 0. 05). Conclusion Application of lidocaine hydrochloride mucilage can reduce the pain degree and improve the wound healing in patients with dressing for pressure ulcer.