宫内阻塞对自我报告的子宫内装置插入疼痛的影响:单中心前性调查研究
Micah Clay1, Joyce Ku2, Krystal N Fett1
1Department of Obstetrics and Gynecology, Baylor Scott & White Medical Center - Temple, Temple, Texas, USA.
概括
大多数患者发现子宫内置器 (IUD) 插入疼痛是预期的或更好. 阻塞等疼痛管理技术可能会改善一些人的宫内避孕套插入体验.
科学领域:
- 妇科 妇科 妇科 妇科
- 生殖健康 生殖健康
- 疼痛管理 疼痛管理
背景情况:
- 宫内避孕装置 (IUD) 的插入可能会引起疼痛,可能会阻止患者选择这种避孕方法.
- 了解患者报告的疼痛经历对于改善宫内避孕套安置程序至关重要.
研究的目的:
- 为了确定办公室内宫内器械 (IUD) 放置期间自我报告的疼痛的发生率.
- 为了评估宫内或宫内阻塞对IUD插入期间疼痛感知的影响.
主要方法:
- 对接受IUD安置的患者进行前性研究.
- 纳入标准:年龄14-48岁,没有先前的阴道分娩,没有子宫炎,没有怀孕.
- 通过程序前和后的问卷收集数据,评估疼痛和疼痛管理技术的使用.
主要成果:
- 大约8%的患者报告说,在IUD插入期间,疼痛比预期更严重或更严重.
- 接受宫内或宫阻塞的患者报告视觉模拟疼痛得分较低 (35 ± 25 毫米),与没有 (58 ± 14 毫米) 患者相比.
- 阻断和无阻断组之间的疼痛分数差异在统计学上并不显著 (P = 0.22).
结论:
- 很少有百分比的患者在IUD放置期间经历了显著的疼痛.
- 宫内或宫外阻塞显示了在IUD插入期间减少感知疼痛的趋势.
- 需要对更大的样本大小进行进一步的研究,以确认阻塞在减轻IUD插入疼痛和扩大避孕选择方面的有效性.
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