如何描述和管理IUD安置疼痛?
Veronica Hutchison1, Eve Espey2
1Resident physician in obstetrics and gynecology at Oregon Health and Science University in Portland.
AMA journal of ethics
|February 3, 2025
概括
宫内器件 (IUD) 插入期间的疼痛是一个越来越令人担忧的问题. 本评论回顾了影响IUD插入疼痛的因素以及这种避孕方法的有效疼痛管理策略.
科学领域:
- 生殖健康 生殖健康
- 避孕药是一种避孕药,用于避孕.
- 疼痛管理 疼痛管理
背景情况:
- 最近的注意力集中在宫内器件 (IUD) 插入期间的疼痛.
- 宫内避孕器是一种高效且广泛使用的避孕方法.
- 了解和管理与插入相关的疼痛对于患者接受和坚持至关重要.
研究的目的:
- 为了检查在IUD插入过程中导致疼痛的因素.
- 讨论管理IUD插入疼痛的临床和伦理考虑.
- 审查目前和潜在的IUD插入疼痛管理策略.
主要方法:
- 这是一个基于案例审查的评论.
- 它综合了有关IUD插入疼痛的现有文献和临床考虑.
- 讨论了影响疼痛感知和管理的伦理和临床因素.
主要成果:
- 插入IUD期间的疼痛受到各种与患者相关的和与程序相关的因素的影响.
- 有效的疼痛管理需要采用多模式的方法,考虑个体患者的需求.
- 伦理考虑包括知情同意和患者在疼痛管理决策中的自主权.
结论:
- 在IUD插入期间解决疼痛对于改善患者体验和避孕方法的延续至关重要.
- 对疼痛机制的全面理解和量身定制的管理策略可以减轻不适.
- 需要进一步研究在IUD插入期间最佳的疼痛控制.
相关概念视频
Abdominal Regions and Quadrants
7.6K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
7.6K
Analgesia and Pain Management
552
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
552
Local Anesthetics: Clinical Application as Epidural Anesthesia
422
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
422
Irritable Bowel Syndrome III: Medical and Nursing Management
187
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
187
Appendicitis-I: Introduction
99
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
99
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
100
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
100


