維持血液透析を受けている患者の動脈静脈のカヌレーションのためのリドカイン注射の適用
Baodan Liao1, Xiaoqing Wang1, Yinping Qin1
1Hemodialysis Room, Hainan Cancer Hospital, Haikou, Hainan, China.
The journal of vascular access
|September 5, 2025
まとめ
リドカインの注射は,動脈静脈のカヌレーションの成功と血液透析中の患者の快適さを大幅に改善します. この方法は痛みや不安や合併症を軽減し,維持血液透析を受けている患者の満足度が高くなります.
科学分野:
- 腎臓科
- 麻酔科
- 血管へのアクセス
背景:
- 動脈静脈 (AVF) カヌレーションは,維持血液透析 (HD) を受けている患者にとって重要な手順です.
- AVFカヌレーションに伴う痛みと不安は,患者の経験とアデレンスに悪影響を及ぼします.
- 効果的な疼痛管理戦略は,HDの患者のアウトカムを改善するために不可欠です.
研究 の 目的:
- AVFカヌレーション前における局所的な0. 2%リドカイン注射の有効性を評価する.
- カヌレーションの成功率,患者の報告した痛み,不安,および快適さに対するリドカインの影響を評価する.
- 合併症の発生率と患者の満足度に対するリドカインの影響を決定する.
主な方法:
- 91人の維持性HD患者の臨床データを遡及的に分析した.
- 患者は対照群 (日常的消毒) と研究群 (注射前0. 2%のリドカイン) に分けられた.
- 収集されたデータには,カヌレーションの成功率,生理学的パラメータ (心拍数,血圧),心理的評価 (不安,うつ,ストレス),痛みスコア,快適度,合併症率,満足度が含まれています.
主要な成果:
- リドカイン群は,対照群 (81. 40%) に比べて,カヌレーションの成功率 (97. 92%) を著しく高めた.
- リドカインを投与された患者は,痛み,不安,うつ,ストレスレベルが有意に低下し,快適さと健康状態が改善されたと報告した.
- リドカイン群は,かなり低い合併症率 (2. 08% 対 18. 60%) と高い満足度率 (95. 83% 対 79. 07%) を経験しました.
結論:
- 0. 2%のリドカインの局所注射は,維持性HD患者のAVFカヌレーション中の痛みを軽減する効果的な方法である.
- リドカインの投与は患者の快適さを向上させ,心理的苦痛を軽減し,合併症の発生率を下げます.
- この介入は,全般的な患者満足度と,血液透析の血管アクセス管理における手順の成功を高めます.
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