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复方利多卡因乳膏用于静脉留置针穿刺的系统评价
胡月,杨志慧,李燕红,谢俊芳,蒋运兰,李颖馨,周月,张琼月
0
(河北医科大学第三医院;成都中医药大学附属医院)
摘要:
【摘要】 目的 系统评价复方利多卡因乳膏用于静脉留置针穿刺的有效性及安全性。方法 系统检索Cochrane Library、PubMed、EMBase、CBM、CNKI、VIP及WanFang等数据库,配合补充检索手段,收集所有复方利多卡因乳膏用于静脉留置针穿刺的随机对照试验(randomized controlled trial, RCT)。逐步进行文献筛选和资料提取,评估纳入文献的偏倚风险,应用RevMan 53软件进行Meta分析。结果 共纳入15篇RCT(2636例患者)。系统评价的分析结果显示:实验组的无痛率及疼痛缓解率、首针成功率均显著高于对照组,试验组的血压及心率在穿刺前后的改变量显著低于对照组,试验组患者及护士满意率均高于对照组。结论 与常规静脉留置针穿刺操作相比,穿刺前应用复方利多卡因乳膏的临床效果更好,能有效缓解疼痛并提高首针成功率,减轻患者穿刺不适,可明显提高患者及护士的满意度,可在临床护理中推广应用。
关键词:  静脉留置针  穿刺  利多卡因  疼痛  系统评价  Meta分析
DOI:
基金项目:四川省卫生和计生委重点项目(17ZD032)
Application of compound lidocaine cream for puncturing of venous indwelling needles: A systematic review
HU Yue,YANG Zhihui,LI Yanhong,XIE Junfang,JIANG Yunlan,LI Yingxin,ZHOU Yue,ZHANG Qiongyue
(The Third Hospital of Hebei Medical University;Teaching Hospital of Chengdu University of TCM)
Abstract:
【Abstract】 Objective To systematically review the efficacy and safety of application of compound lidocaine cream (CLC) for puncturing of venous indwelling needles (VIN). Methods We searched databases as Cochrane Library, PubMed, EMBase, CBM, CNKI, VIP and WanFang with computer, and also retrieved other sources as supplying. All relevant randomized controlled trials (RCTs) were collected to assessment the application of CLC for puncturing of VIN. After literature screening, data extraction and quality evaluation according to the protocal, metaanalyses were performed using the RevMan 53 software. Results Fifteen RCTs involving 2636 patients were included. The results of systematic review showed: painless rate, remission rate of pain and success rate of the first puncture of CLC group were significant higher than those of control group, the increment of blood pressure and heart rate of CLC group were significant lower than those of control group; and satisfaction rate of the CLC group were significant higher than those of control group. Conclusion Compared with traditional puncturing of VIN, the application of CLC for puncturing can significant improve clinical effect, relieving pain and improving success rate of the first puncture, relieve discomfort and improve satisfaction rate of patients and nurses.
Key words:  Venous indwelling needles  Puncture  Lidocaine  Pain  Systematic review  Meta analysis

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