药理学和非药理学干预措施,以控制门诊歇斯底里镜的疼痛:一个系统的审查
Orla Bracken1, Andrew Woodsmith2, Micheál Newell3
1Department of Obstetrics and Gynaecology, National Maternity Hospital, Dublin, Ireland.
概括
门诊透视 (OPH) 期间的疼痛可以通过各种药理和非药理方法有效管理. 这一系统性审查发现,一些干预措施显著减少疼痛,改善了患者体验和临床结果.
科学领域:
- 妇科 妇科医生 妇科
- 疼痛管理 疼痛管理
- 基于证据的医学基于证据的医学.
背景情况:
- 门诊性腹膜镜检查 (OPH) 是一个关键的妇科手术.
- 疼痛是OPH成功和患者满意度的一个重要障碍.
- 目前的文献缺乏关于OPH最佳止痛的共识.
研究的目的:
- 系统地审查药理和非药理干预措施在OPH期间控制疼痛的疗效.
- 为OPH程序确定有效的疼痛管理策略.
主要方法:
- 2017年1月至2024年2月期间发表的16项随机对照试验 (RCT) 的系统审查.
- 在 MEDLINE,Embase 和 CENTRAL 数据库中搜索了符合条件的研究.
- 使用主观查工具评估疼痛,并监测不良事件.
主要成果:
- 特拉马多尔,阴道弥索普罗斯托尔和宫里多卡因冲洗显著降低了OPH疼痛.
- 非药物学方法,如语音分心,TENS和多媒体信息是有效的.
- 氨酸-N-丁化物 (HBB) 与狄克洛菲纳克显示出相互矛盾的结果;口服的米索普罗斯托尔和单独的狄克洛菲纳克是无效的.
- 副作用是最小的,其中一项研究指出HBB和狄克洛芬雅的副作用较高.
结论:
- 药理学和非药理学方法都为OPH提供安全有效的止痛药.
- 这些发现可以为临床实践提供信息,并指导OPH未来的疼痛管理方案.
- 确定了OPH疼痛控制未来研究的领域.
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