Onji I, Nakao M
Department of Anesthesia, Chuden Hospital of Chugoku Electric Power Company Inc., Hiroshima.
Masui. 1996 Aug;45(8):976-9.
We evaluated the effect of lidocaine containing adhesive tape (LT) on the venipuncture pain by using visual analogue scale (VAS). Patients were assigned prospectively to a control (65 cases) group and a LT (80 cases) group weekly. LT was applied 30 min before the scheduled entry into the operating room. A 20 gauge polyurethane venous catheter (Insyte; Becton-Dickinson) was punctured randomly by either experts (board certified anesthesiologists) or by novice staffs. VAS on venous puncture was significantly better by the experts; median of VAS by experts in control and LT groups were 48.5 and 26.5, while VAS by novice staff in control and LT group were 49.5 and 52.0, respectively. Smooth venipuncture was performed in 91% of those in expert group. However only 71% of venipuncture was done smoothly in the novice group. We conclude that skillful venipuncture in combination with LT is essential to reduce the venipuncture pain.
我们使用视觉模拟评分法（VAS）评估了含利多卡因胶带（LT）对静脉穿刺疼痛的影响。患者每周被前瞻性地分为对照组（65例）和LT组（80例）。在预定进入手术室前30分钟应用LT。由专家（获得委员会认证的麻醉医生）或新手工作人员随机穿刺一根20号聚氨酯静脉导管（Insyte；贝克顿-迪金森公司）。专家进行静脉穿刺时VAS评分明显更好；对照组和LT组专家的VAS评分中位数分别为48.5和26.5，而对照组和LT组新手工作人员的VAS评分分别为49.5和52.0。专家组中91%的患者静脉穿刺顺利。然而，新手组中只有71%的静脉穿刺顺利完成。我们得出结论，熟练的静脉穿刺结合LT对于减轻静脉穿刺疼痛至关重要。
