利多卡因氯己定气雾剂对皮肤裂伤的作用研究

Study on Effect of Lidocaine Chlorhexidine Aerosol on Skin Laceration

目的:观察利多卡因氯己定气雾剂对皮肤裂伤的作用和可行性。方法:选取2016年6月-2017年5月于我院急诊科就诊的300例头面部、颈部皮肤裂伤患者,按随机数字表法分为观察组和对照组,各150例。观察组采用利多卡因氯己定气雾剂术前局部表面均匀浸润麻醉和术后均匀喷洒,成膜后不包扎。对照组术前采用利多卡因注射液1 m L+0.9%氯化钠注射液1 m L局部伤口周围皮下注射浸润麻醉和清创缝合后常规包扎,定期换药。比较两组的麻醉起效时间和术中伤口疼痛程度、伤口愈合效果、愈合满意程度。结果 :两组麻醉起效时间、术中伤口疼痛程度比较、伤口的愈合效果及伤口愈合满意情况比较无统计学差异(P>0.05)。结论:利多卡因氯己定气雾剂与常规包扎处理比较,对伤口的保护没有差别,这样既减少耗材和麻药的浪费,又可发挥术前局部麻醉和术后预防感染作用,同时不影响患者的形象,值得大力推广应用。

Objective:To observe the effect lidocaine chlorhexidine aerosol on skin laceration and use feasibility. Methods:300 patients with head and face, neck skin laceration from emergency department of our hospital from June 2016 to May 2017 were randomly divided into observation group(n=150) and control group(n=150). The patients in the observation group were treated with lidocaine chlorhexidine aerosol by preoperative local surface uniform infiltration anesthesia and postoperative uniform spray without wrapping after film formation. The patients in the control group were treated with lidocaine injection 1 m L+0.9% Na Cl injection 1 m L by local infiltration anesthesia via subcutaneous injection around wound, and conventional dressing after debridement and suture and periodic dressing change were conducted. The onset time of anesthesia, intraoperative wound pain degree, wound healing effect and healing satisfaction degree in two groups were compared. Results:There was no significant difference in onset time of anesthesia, intraoperative wound pain degree, wound healing effect and healing satisfaction degree(P>0.05). Conclusions:There is no difference between lidocaine chlorhexidine aerosol and conventional dressing treatment in the aspect of wound protection, while the former not only reduces the waste of consumables and anesthetics, but also plays the role of local anesthesia and postoperative infection prevention, and at the same time, it does not affect the image of patients, and is worth promoting.