Soysal S, Topacoglu H, Karcioglu O, Serinken M, Koyuncu N, Sarikaya S
Dokuz Eylul University Advanced Professional School of Health Sciences, Izmir,Turkey.
Int J Clin Pract. 2005 Jun;59(6):675-9. doi: 10.1111/j.1742-1241.2005.00427.x.
The aim of the study was to determine some factors affecting pain during intravenous (i.v.) catheter placement in an emergency department (ED). A cross-sectional, observational study was conducted at an academic ED. Nine hundred and twenty five adult patients who had a 20 gauge i.v. catheter placed were enrolled the study. Patients were excluded for the following conditions: more than one i.v. attempt, altered mental status, head trauma, lack of contact due to visual impairment, hearing or speech disorder, intoxication, distracting injury or physical abnormality at the i.v. site. The magnitude of pain of i.v. catheter placement was not related to age, sex, experience of the individual placing the i.v. catheter, site of i.v. catheter insertion and use of analgesic or antidepressive drugs (p > 0.05). Patients with a history of depression reported significantly higher pain than non-depressive patients (p = 0.001). Depressive patients reported higher severity of pain during i.v. catheter placement than nondepressed ones. This may influence the decision on whether or not to use local anaesthesia for catheter insertion.
本研究的目的是确定急诊科静脉置管期间影响疼痛的一些因素。在一家学术性急诊科进行了一项横断面观察性研究。纳入925例接受20G静脉导管置管的成年患者。排除以下情况的患者：多次静脉穿刺尝试、精神状态改变、头部外伤、因视力障碍、听力或言语障碍而缺乏沟通能力、中毒、有干扰性损伤或静脉穿刺部位存在身体异常。静脉置管时的疼痛程度与年龄、性别、静脉置管者的经验、静脉导管插入部位以及使用镇痛或抗抑郁药物无关（p>0.05）。有抑郁症病史的患者报告的疼痛明显高于无抑郁症的患者（p=0.001）。抑郁患者在静脉置管期间报告的疼痛严重程度高于非抑郁患者。这可能会影响在静脉置管时是否使用局部麻醉的决策。
