双氯芬酸钠栓在门诊无创宫腔镜检查中应用研究

发布时间：2018-03-23 07:31

本文选题：双氯芬酸钠栓　切入点：米索前列醇　出处：《中国实用妇科与产科杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨直肠给予双氯芬酸钠栓与阴道给予米索前列醇在门诊无创宫腔镜检查中减少患者疼痛的差异。方法回顾性分析广州市妇女儿童医疗中心2016年4月至2016年12月在门诊行无创宫腔镜检查患者196例。患者分成3组。其中A组63例,术前未给予任何药物处置;B组51例,均术前2 h接受阴道给药米索前列醇200μg;C组82例,术前60 min直肠给予双氯芬酸钠栓100 mg。记录患者疼痛程度,按从0分(无痛)到10分(剧痛)可视量化评分,比较宫腔镜检查时间、术中不良反应、术后镇痛的需求及心脑综合征(PASS)发生情况。结果宫腔镜检查时间A组(7.61±2.23)min,B组(7.04±2.95)min,C组(6.12±1.72)min,3组差异无统计学意义;术中C组发生PASS和不良反应0例,明显低于B组,差异有统计学意义(P0.05);术中C组发生中重度疼痛7例(8.75%),分别与A组和B组比较,差异均有统计学意义(P0.05)。结论门诊无创宫腔镜检查术前应用双氯芬酸钠栓具有疼痛轻、无需麻醉、不良反应发生率低、效果好等优点。
[Abstract]:Objective to explore the difference between rectal administration of diclofenac sodium suppository and vaginal misoprostol in non-invasive hysteroscopy. Methods retrospective analysis was made on the pain reduction in Guangzhou Women's and Children's Medical Center from April 2016 to 2016. 196 patients underwent noninvasive hysteroscopy in the outpatient clinic in December. The patients were divided into three groups: group A (63 cases), There were 51 patients in group B who were not given any drugs before operation. 82 patients in group C received misoprostol 200 渭 g / g of misoprostol 2 hours before operation. The pain degree of patients was recorded by rectal administration of diclofenac sodium suppository at 60 min before operation. According to the visual quantitative score from 0 (painless) to 10 (severe pain), the time of hysteroscopy and adverse reaction during operation were compared. Results the time of hysteroscopy was 7.61 卤2.23 min in group A, 7.04 卤2.95 min in group C, 6.12 卤1.72 min in group C, 0 cases in group C and 0 cases in group C, which were significantly lower than those in group B. The difference was statistically significant (P 0.05), 7 cases of moderate and severe pain occurred in group C, compared with group A and group B, the difference was statistically significant (P 0.05). Conclusion the application of diclofenac sodium suppository before hysteroscopy in outpatient department has mild pain and no need of anesthesia. The adverse reaction rate is low, the effect is good and so on.
【作者单位】：广州市妇女儿童医疗中心妇产科;
【分类号】：R713

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