强迫咳是否有效减少宫活检期间的疼痛? : 一个系统的审查和元分析
Yassamine Ouerdane1, Aya Abd Elmegeed2, Mohammed Tarek3
1Department of Medicine, Saad Dahlab University, Blida, Algeria.
Sultan Qaboos University medical journal
|December 13, 2023
概括
强迫咳 (FC) 和局部麻醉 (LA) 可以减少宫活检期间的疼痛. 虽然LA显示出更大的整体止痛效果,但FC导致更短的手术时间,提供了一个实用的替代方案.
科学领域:
- 妇科 妇科 妇科 妇科
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 宫活检是一种常见的妇科手术.
- 宫活检期间的疼痛管理对于患者的舒适性至关重要.
- 有限的研究将强迫咳 (FC) 与局部麻醉剂 (LA) 进行比较,以缓解疼痛.
研究的目的:
- 为了在宫活检期间比较FC与LA或安慰剂的止痛效果.
- 评估与疼痛管理策略相关的程序持续时间.
主要方法:
- 对5个电子数据库 (Scopus,PubMed,科学网,科克兰图书馆,谷歌学者) 的系统审查.
- 从开始到2021年3月,包括6项随机对照试验 (RCT).
- 对疼痛评分和手术持续时间的提取数据的元分析.
主要成果:
- 当地麻醉剂 (LA) 与强制咳 (FC) 相比,在统计学上显著地具有更大的镇痛效果 (MD = 1.06,95% CI:0.58至1.54;P <0.0001).
- 在FC和安慰剂之间没有观察到疼痛减轻的显著差异 (MD = -1.2,95%CI: -3.35至0.94;P = 0.27).
- 与FC组相比,LA组的手术持续时间明显较短 (MD = -1.94,95% CI: -2.47至 -1.41;P <0.00001).
结论:
- FC和LA都是宫活检的有效止痛方法.
- 选择FC和LA可能取决于临床环境和可用性.
- LA提供卓越的疼痛缓解,而FC提供更短的程序持续时间.
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