超低压间歇性栓塞法预防和控制子宫动脉栓塞术过程中的疼痛

Using intermittent injection with super-low pressure to prevent and control the pain during uterine artery embolization

目的 观察超低压间歇性栓塞法治疗子宫肌瘤对术中及术后疼痛预防及控制的作用。方法 40例子宫肌瘤患者接受子宫动脉栓塞 (UAE)治疗 ,分为A(实验组 )、B(对照组 )二组 ,A组采用超低压间歇性栓塞法 ,B组采用常规低压流控法。术后统计患者所用镇痛药物级别并填写疼痛评定量表。结果 A组使用一、二、三阶梯镇痛药者例数分别为 8例、10例、0例 ,未用止痛药 2例 ;B组相应为 3例、5例、12例和 0例。疼痛评定量表结果中A组评分良好有 14例 ,基本满意为 4例 ,差为 2例。结论 正确采用超低压间歇性栓塞法可明显减低、消除子宫肌瘤UAE治疗过程中的疼痛。

Objective To observe the effects of the intermi tten t injection with super-low pressure on the pain control during and after the op eration of uterine artery embolization (UAE) for uterine myoma. Methods Forty cases of uterine myoma submitted to UAE therapy were divided int o groups of A (experimental group) and B (control group). Patients in Group A we re performed the uterine artery embolization with the intermittent injection at a super-low pressure, while those in Group B were performed the routine UAE. Af ter operation, the ranks of used analgesic of the subjects were recorded and the pain evaluation scale (PES) was used. Results According to WHO analgesic ladder, the first, second and third step analgesic user in Group A wa s 8, 10 and 0 cases, respectively, with 2 cases of non-analgesic user, while in Group B was 3, 5 and 12 cases, respectively, without non-analgesic user. PES s howed 14 cases of good pain control, 4 satisfying and 2 poor in group A. Conclusion The technical aspects of the uterine artery embolization w ith intermittent injection of super-low pressure can obviously decrease, even e liminate the pain. [