盐酸丁卡因胶浆缓解维持性血液透析患者内瘘穿刺疼痛的效果

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Abstract Objective: To explore the effect of tetracaine hydrochloride mucilage on the relief of pain in maintenance hemodialysis patients. Methods: Totally 80 hemodialysis patients using fistula were divided into two groups equally: puncture group as control and tetracaine hydrochloride mucilage group as experiment group. Numerical rating scale and Faces rating scales were used to record the pain scores. Satisfaction questionnaire was handed out to the patients and the data from those two groups were compared. Another 20 hemodialysis patients with two successive dialysis session were recruited. In these patients, routine puncture was performed initially, and then tetracaine hydrochloride mucilage was applied to the fistule for the next successive hemodialysis session. Blood pressure before and after the puncture at different times were compared. Results: Pain scale was significantly lower in the experiment group (P<0.05) while the satisfaction rate was higher compared with the control group. There were differences in systolic and diastolic pressure in 20 patients for the first time using routine puncture respectively (P<0.05). However, the difference in blood pressure was not significant in the 20 patients for the next dialysis session (P>0.05). The systolic and diastolic pressure before and after puncture showed significant difference for the first and second time of hemodialysis session respectively in 20 hemodialysis patients. Conclusion: The use of tetracaine hydrochloride mucilage could relieve pain, increase the satisfaction rate and decrease the fluctuation of blood pressure, thus alleviating anxiety and promoting the patients’ compliance to the treatment of hemodialysis.

Key words： hemodialysis tetracaine hydrochloride mucilage fistula puncture relief pain

Received: 23 January 2018

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	WU Yaoyao
	HUANG Wen
	YE Bairu
	XU Wumin

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2018/V48/I10/776

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