复方利多卡因乳膏在儿童PICC置管中的镇痛效果观察

The analgesic effect of compound Lidocaine cream in peripherally inserted central catheter insertion by modified Seldinger technique in children

目的比较复方利多卡因乳膏与利多卡因注射液在改良赛丁格技术行儿童外周静脉穿刺置入中心静脉导管术(PICC)中的镇痛效果。方法87例采用改良赛丁格技术行PICC置管的肿瘤患儿分为研究组(n=40)和对照组(n=47)。对照组按改良赛丁格PICC穿刺操作程序,使用解剖刀扩皮时给予盐酸利多卡因注射液0.5 mL皮内注射。研究组在消毒皮肤前1 h,以穿刺点为中心局部涂抹复方利多卡因乳膏(1.5 g/10 cm^2,厚度约1 mm)。采用面部表情分级评分量表Wong-Baker进行疼痛评估。结果PICC穿刺时研究组患儿Wong-Baker面部表情评定量表评分(3.05±1.36)分,低于对照组的(4.26±0.67)分,差异有统计学意义(P<0.01).结论改良赛丁格技术行儿童PICC置管中,局部涂抹复方利多卡因乳膏的镇痛效果明显。

Objective To observe the analgesic effect of compound Lidocaine cream in peripherally inserted central catheter(PICC)insertion by modified Seldinger technique in children.Methods Totally 87 children with cancer undergoing PICC by modified Seldinger technique were assigned to the study group(n=40)and the control group(n=47).The intradermal injection of 0.5 mL Lidocaine Hydrochloride was adopted at the time of skin incision in the control group.In the study group,the compound Lidocaine cream was applied at the puncture site 1 h before the skin disinfection.The pain degree was evaluated by Wong-Baker FACES pain rating scale(WBS).Results The WBS score of children in the study group was(3.05±1.36),which was lower than(4.26±0.67)in the control group(P<0.01).Conclusion Application of compound Lidocaine cream at puncture site is potentially effective to relieve the PICC-induced pain in children.