烧伤患者应用利多卡因冷疗止痒的效果观察.docVIP

精品论文 参考文献 烧伤患者应用利多卡因冷疗止痒的效果观察 程凤芹 伍惠凤 温碧云 凌少梅 梁锦贞 罗韩静 胡结珍广东省佛山市顺德区第一人民医院烧伤科 广东顺德 528300 　　【摘 要】目的 探讨烧伤患者应用利多卡因冷却后创面止痒的效果。方法 将150 例Ⅱ度烧伤愈合过程中创面瘙痒的患者随机平均分为3 组，（低温10℃生理盐水组、室温0.5%利多卡因组、低温10℃0.5％利多卡因组），分别用各自组的溶液按规定计量予以创面喷涂治疗，比较各组间止痒效果、止痒时间及治疗前、后焦虑程度和睡眠质量。结果 10℃0.5％利多卡因组止痒的有效率达94%，与另外2 组比较，Plt;0.001，差异有统计学意义。低温10℃（生理盐水与0.5%的利多卡因）比室温0.5%利多卡因组在止痒的起效时间和缓解间隔时间，均有显著差异；低温 10℃0.5％利多卡因在止痒的缓解间隔时间与其他组比较，Plt;0.001，差异有统计学意义。干预后低温10℃0.5％利多卡因组焦虑评分和睡眠质量评分明显低于其他组，Plt;0.001，差异有统计学意义。 　　结论 利多卡因冷疗喷涂烧伤创面可有效地缓解患者的瘙痒症状，减轻焦虑症状，改善患者的睡眠，值得临床推广使用。 　　【关键词】Ⅱ度烧伤；创面瘙痒；利多卡因；冷疗The effect of theTreatment with Cooling Lidocaine to Burn Wound ItchesCheng Fen-qin，Wu Hui-feng，Wen Bi-yun，Lin Shao-mei，Liang Jin-zhen，Luo Han-jing，Hu Jie-zhen（Department of Burn，Shunde Peoplersquo;s Hospital，Southern Medical University，Guangdong，528300，China）Abstract：Objective To investigate the effection of cooling lidocaine treatment to burn wound itches.Methods 150 patients of 2 degreeburns with wound itching were randomly divided into3 groups（the treatment method：normal saline at 10℃ group，lidocaine at roomtemperature group，lidocaine at 10℃ group）.The burn wound was treated with respective liquid in each group according to formularymeasurement.The antipruritic effect，the antipruritic time，anxiety level and sleep quality after the treatment were compared among thegroups.Results The antipruritic efficiency of lidocaine at 10℃ group was 94%，significantly better than the other two groups（Plt;0.001）.Compare with lidocaine at room temperature group，lidocaine at 10℃ group were more effective in antipruritic effect time andremission time interval（Plt;0.001）.lidocaine at 10℃ group were more effective in remission time interval than the oher two group（Plt;0.001）.Compare with the other 2 groups，lidocaine at 10℃ group were lower in score of anxiety level and sleep quality（Plt;0.001）.Conclusion To the burn patients，10℃ normal saline can effective reduce wound itching，relieve anxiety，improve sleepquality.It is worth to appliment in clinic.