[用于自体血浆和红细胞浓缩液捐献的大口径留置静脉导管穿刺部位麻醉的复方利多卡因乳膏]
[EMLA for anesthesia of puncture sites for large lumen indwelling venous catheters for autologous plasma and erythrocyte concentrate donation].
作者信息
Gelowicz-Maurer M, Geiger P, Junker K, Kunz C
机构信息
Abteilung-Anästhesiologie/Intensivmedizin, Rehabilitationskrankenhaus Ulm.
出版信息
Anasthesiol Intensivmed Notfallmed Schmerzther. 1997 Jan;32(1):27-9. doi: 10.1055/s-2007-995003.
OBJECTIVE
The analgetic effect of EMLA-Creme (Lidocaine-Prilocaine-Cream) was studied in 52 patients undergoing preoperative autologous blood and/or plasma donation.
METHOD
95 venous punctures were performed with a 18 G or 16 G cannula. Puncture pain was estimated by the patients using a visual analog painscore (VAS 0-100). The data were evaluated regarding reaction time, puncture spot and cannula diameter.
RESULTS
Within 15 minutes we find a clear reduction of puncture pain. The diameter of the cannula does not correlate with the painscore. Puncture of hand-back veins seems to be more painful than cubital vein puncture.
CONCLUSION
The application of EMLA-Creme results in an effective analgesia for venous puncture. 37% of our patients were punctured without any pain and 67% felt a tolerable pain (VAS: 0-10).
目的
研究复方利多卡因乳膏（EMLA乳膏，主要成分为利多卡因-丙胺卡因乳膏）对52例术前进行自体血液和/或血浆采集患者的镇痛效果。
方法
使用18G或16G套管针进行95次静脉穿刺。患者采用视觉模拟疼痛评分法（VAS 0 - 100）评估穿刺疼痛。对反应时间、穿刺部位和套管针直径的数据进行评估。
结果
15分钟内穿刺疼痛明显减轻。套管针直径与疼痛评分无关。手背静脉穿刺似乎比肘静脉穿刺更疼。
结论
复方利多卡因乳膏的应用对静脉穿刺有有效的镇痛作用。我们37%的患者穿刺时无疼痛，67%的患者感觉疼痛可耐受（VAS：0 - 10）。
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