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选择性子宫动脉栓塞治疗纤维瘤后的30天医疗保健接触,有或没有上下胃神经阻塞

Nicole H Kim¹, Ammar Sarwar², Muhammad Mohid Tahir²

¹Harvard Medical School, Harvard University, Boston, Massachusetts.

Journal of vascular and interventional radiology : JVIR

|October 26, 2024

概括

在纤维瘤的子宫动脉栓塞 (UAE) 期间,上下胃神经阻塞 (SHNB) 显著增加了当天的分泌率. 然而,与单独的阿联相比,SHNB不会影响整体30天的医疗保健遭遇.

科学领域:

干预性放射学干预性放射学
妇科妇科医生妇科
疼痛管理疼痛管理

背景情况:

子宫动脉栓塞 (UAE) 是子宫纤维瘤的常见治疗方法.
优化患者的康复和减少阿联后的医疗保健接触是临床优先事项.
辅助疼痛管理技术的作用,如上下胃神经阻断 (SHNB),需要进一步研究.

研究的目的:

评估在阿联期间执行SHNB对当天放电率的影响.
评估SHNB在阿联期间对治疗后30天内医疗保健接触的影响.

主要方法:

对240名接受阿联子宫纤维瘤治疗的患者进行了回顾性审查.
在30天内将医疗保健接触 (HCE) 分类为早期 (0-7天) 或晚期 (8-30天),与IR相关或无关.
在接受SHNB和未接受SHNB的患者之间,同日出院和30天HCE率的比较.

主要成果:

接受SHNB治疗的患者同日出院率 (90%) 与没有SHNB治疗的患者 (48%) 相比显著更高 (P < .001).
在SHNB和非SHNB组之间的30天HCE总比率没有显著差异 (17%与10%,P = .20).
大多数HCE与IR相关,主要是由于疼痛,恶心/吐或出血,两组的发病率相似.

结论:

阿联与SHNB相结合,显著提高了治疗子宫纤维瘤的同一天出院的可能性.
在阿联期间的SHNB不会改变30天医疗保健遭遇的整体率.
附加的SHNB是改善阿联后立即恢复的宝贵工具,而不会增加随后的医疗保健利用率.

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