在宫内器械插入期间疼痛管理利用的变化:回顾性审查
Sophia Landay1, Emily Newton-Hoe2, Amanda Farrell1
1Department of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center, Boston, MA.
American journal of obstetrics and gynecology
|July 27, 2025
概括
宫内器械 (IUD) 插入的疼痛管理被低估,宫阻塞 (一种关键的疼痛缓解方法) 很少被使用. 使用因患者因素而异,集中在少数提供者中,表明需要更好的疼痛控制教育.
科学领域:
- 生殖健康 生殖健康
- 疼痛管理 疼痛管理
- 健行护理服务提供者
背景情况:
- 社交媒体强调了宫内器械 (IUD) 插入期间疼痛管理不足.
- 宫阻塞是基于证据的IUD插入疼痛,但未得到充分利用.
- 影响患者访问水平上宫阻塞使用的因素尚不清楚.
研究的目的:
- 估计在IUD插入期间使用的疼痛管理技术.
- 评估与疼痛管理方法相关的基于患者和提供者的因素.
主要方法:
- 一个学术医疗中心的计费数据的回顾性图表审查 (2021年1月至2021年12月).
- 对IUD插入和疼痛管理方法的分析,包括宫阻塞.
- 多变量后勤回归评估了与宫障碍使用相关的因素 (性别平等,妇科状况,种族/种族,保险).
主要成果:
- 73.1%的IUD插入缺乏记录的疼痛管理.
- 宫阻塞使用率为12.5%;NSAIDs (22.2%) 和乙氨基 (7.8%) 更常见.
- 无毛病患者和患有妇科疾病的患者接受宫阻塞的几率更高 (aOR分别为2.61和2.23).
- 宫阻塞的使用集中在少数提供者中.
结论:
- 输卵管插入的疼痛管理在门诊设置中未得到充分使用.
- 宫阻塞的使用取决于提供者,而不是以患者为中心.
- 需要更多地关注疼痛控制和临床医师对IUD插入的教育.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
499
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...
499
Analgesia and Pain Management
803
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...
803


