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对于宫内器械插入和维护的疼痛管理的不同方法:一个范围审查

Mayisah Rahman¹, Connor King¹, Rosie Saikaly¹

¹Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.

|April 8, 2024

概括

宫内器件 (IUD) 插入的疼痛因患者的因素和使用的方法而异. 药理干预措施,如利多卡因和凯托洛拉克有效地减少疼痛,与非药理技术不同,突出需要标准化疼痛管理协议.

科学领域:

生殖健康生殖健康
疼痛管理疼痛管理
避孕药是一种避孕药,用于避孕.

背景情况:

宫内器械 (IUD) 是有效的避孕药,但可以引起手术过程中的疼痛.
现有的IUD插入疼痛管理指南缺乏统一性,特别是在美国和其他地区之间.
关于IUD植入标准化疼痛管理协议的文献缺口.

研究的目的:

解决关于IUD植入期间疼痛管理的官方程序的文献缺口.
审查和分类影响IUD插入期间疼痛的因素.
为IUD程序确定有效的减轻疼痛的策略.

主要方法:

通过使用PubMed,MEDLINE和EMBASE的关键词进行了范围审查.
最初确定了457篇文章,最终在严格的选和质量评估后选择了19篇.
数据被分为间接因素,非药理方法和药理方法.

主要成果:

以前的阴道分娩和哺乳期与较低的疼痛分数有关;无孕妇女和黑人妇女报告疼痛更高.
非药理方法 (插入技术,工具,冷压) 并没有显著影响疼痛水平.
药理方法包括利多卡因凝,宫阻塞,口服凯托洛拉克和阴道mizoprostol/dinoprostone降低了疼痛评分.

结论:

在IUD插入实践和疼痛管理方面存在显著的变化.
环境因素,非药物学和药物学方法影响疼痛感知和管理.
需要进一步的研究来制定标准化的协议,以减轻IUD插入的疼痛,特别是考虑到IUD使用的潜在增加.

关键词:

宫内器械 (IUD) 是一种子宫内器械.其他非药物治疗方法.药理治疗药理治疗治疗指南治疗指南女性的生殖能力是女性的生殖能力.

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