吲哚美辛栓在门诊无痛宫腔镜输卵管插管通液术治疗中的应用

Application of indomethacin suppository in painless hysteroscopic tubal cannulation surgery in outpatients

目的:吲哚美辛栓在门诊无痛宫腔镜输卵管插管通液术治疗中的临床价值。方法:60例输卵管性不孕患者随机分为观察组和对照组,对照组采用静脉麻醉方法,观察组采用术前加用吲哚美辛栓镇痛。观察清醒后腹痛情况、手术并发症,手术不良反应,记录手术出血量和手术时间。结果:观察组无痛率为83.3%,显著高于对照组(23.3%),相比较有显著性差异(P<0.05);观察组手术时间和宫腔出血量低于对照组,相比较有显著性差异(P<0.05);观察组手术并发症发生率为3.3%,显著低于对照组(23.3%),相比较有显著性差异(P<0.05);观察组无不良反应。结论:在门诊无痛宫腔镜输卵管插管通液术治疗中应用吲哚美辛栓,镇痛效果好,且安全、方便,值得临床推广应用。

Objective：To evaluate the clinical effects of indomethacin suppositories through hysteroscopic tubal cannulation surgery in outpatients.Methods：60 cases of patients with tubal infertility were randomly divided into observer group and control group.The control group was given the intravenous,the observer group was given analgesia of indomethacin suppositories before surgery.The abdominal pain after waking situation,surgical complications and surgical side effects were observed,the amounts of bleeding and operation time were recorded.Results：The pain-free rate of the observer group was 83.3%,the control group was 23.3%,compared the difference between two groups was significant（P〈0.05）;The amounts of bleeding and operation time of the observer group were lower than the control group,compared the difference between two groups was significant（P〈0.05）;The surgical complications rate of observer group was 3.3%,the control group was 23.3%,compared the difference between two groups was significant（P〈0.05）;There was no surgical side effects in the observer group.Conclusion：The indomethacin suppositories through the application of hysteroscopic tubal cannulation surgery has better analgesia,and it is safe,convenient and worthy of clinical application.