为子宫内膜活检优化止痛:一个前性,随机的比较研究.
Enes Serhat Coskun1, Ali Selcuk Yeniocak2, Havva Betul Bacak3
1Department of Obstetrics and Gynecology, Simav Doç. Dr. İsmail Karakuyu City Hospital, Kutahya, Turkey.
The journal of obstetrics and gynaecology research
|November 17, 2024
概括
宫内利多卡因和宫阻塞在子宫内膜活检 (EMB) 期间有效控制疼痛. 与口服德克塞托或宫利多卡因喷雾相比,这些方法显著减少了不适,改善了患者的体验.
科学领域:
- 妇科 妇科 妇科 妇科
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 子宫内膜活检 (EMB) 是一种常见的妇科手术.
- 在EMB期间的疼痛可能会影响患者的耐受性和遵守性.
- 有效的疼痛管理策略对于门诊妇科手术至关重要.
研究的目的:
- 为了比较四种不同的止痛方法在门诊子宫内膜活检 (EMB) 期间控制疼痛的疗效.
- 为了评估子宫内利多卡因,口服德克塞托,宫利多卡因喷雾,和用prilocaine的宫阻塞.
- 为了确定患者舒适度的最佳疼痛管理方法.
主要方法:
- 这是一项前性随机观察性研究,涉及197名接受EMB治疗的女性.
- 参与者被分配到四个组之一:子宫内利多卡因,口服德克塞托,宫利多卡因喷雾,或用prilocaine进行宫阻塞.
- 使用视觉模拟尺度 (VAS) 在术后测量疼痛强度,并记录了额外的止痛需求.
主要成果:
- 与利多卡因喷雾剂和口服德克塞托 (p < 0.001) 相比,子宫内利多卡因和宫阻塞显示疼痛得分明显较低.
- 口服德克塞托组报告了最高的疼痛得分,频繁的严重疼痛更频繁.
- 在宫内利多卡因或宫阻塞组中,没有需要额外的止痛药,与利多卡因喷雾组 (30%) 不一样.
结论:
- 宫内利多卡因和宫阻断剂优于利多卡因喷雾剂和口服德克塞托,用于在子宫内膜活检期间控制疼痛.
- 适当选择止痛药对于提高办公室内妇科手术期间的患者舒适度至关重要.
- 这些发现支持使用区域性或子宫内麻醉以改善手术结果.
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