用IUD插入来尽量减少疼痛和焦虑的实用建议
Viktoriya Ovsepyan1, Petra Kelsey2, Ann E Evensen2
1From the University of Wisconsin School of Medicine and Public Health - Department of Family Medicine and Community Health Madison, Wisconsin (VO, AEE); One Medical Austin, Texas (PK). vovsepyan@wisc.edu.
Journal of the American Board of Family Medicine : JABFM
|March 21, 2025
概括
有效的疼痛和焦虑管理策略存在于子宫内装置 (IUD) 插入. 提供这些药理和非药理选择可以提高IUD手术期间的患者舒适度.
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:
- 宫内避孕器 (IUD) 是一种高效,长效的避孕药.
- 在IUD插入期间害怕疼痛和焦虑会阻止使用.
研究的目的:
- 审查药理学和非药理学方法,用于在IUD插入期间管理疼痛和焦虑.
- 总结有关妇科手术疼痛和焦虑减轻技术的发现.
主要方法:
- 使用PubMed和Cochrane数据库进行文献审查.
- 搜索的术语包括"IUD插入"",疼痛控制"和"焦虑".
- 总结了使用美国家庭医生学会推分类学力 (SORT) 尺度的研究结果.
主要成果:
- 药理选择:纳普罗,特拉马多尔,利多卡因阻断剂/喷雾剂,利多卡因-普洛卡因奶油.
- 非药物选择:插入前咨询,口头镇痛,芳香疗法,分心,瓦萨尔瓦机动,加热.
- 这两种方法都在减少疼痛和焦虑方面表现出适度的有效性.
结论:
- 适度有效的药理学和非药理学方法可用于IUD插入疼痛和焦虑.
- 提供这些方法可以提高患者在手术期间的舒适度.
- 需要进一步的研究来比较不同方法的疗效.
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