自控镇痛泵对子宫动脉栓塞术后疼痛的疗效分析

Clinical Effect of auto-analgesia pump in alleviating postoperative pain of uterine artery embolization

目的:探讨自控镇痛泵对子宫动脉栓塞术(UAE)后疼痛的疗效。方法:便利抽样法选择2016年8月—2017年3月在包头医学院第一附属医院介入治疗科实施UAE治疗子宫瘢痕妊娠的患者46例,分为观察组23例和对照组23例。观察组于UAE术后立即手背静脉留置一次性自控镇痛泵;对照组仅于术后患者有疼痛主诉时予肌内注射盐酸哌替啶50 mg+异丙嗦25 mg。比较两组术后不同时间(0、4、8、16、24、48 h)的视觉模拟评分(VAS)以评价疼痛程度,采用布氏舒适评分(BCS)评价舒适程度;并比较两组的术后不良反应发生情况。结果:观察组术后VAS评分及BCS评分除术后1 h差异无统计学意义(P>0.05)外,术后4、8、16、24、48 h的VAS评分观察组均低于对照组,术后4、8、16、24、48 h的BCS评分观察组均高于对照组,差异均有统计学意义(P<0.05)。术后观察组不良反应发生比例明显少于对照组,差异均有统计学意义(P<0.05)。结论:自控镇痛泵能有效地用于UAE,可降低术后疼痛的程度,提高患者的舒适程度和满意度。

Objective:To investigate the clinical effect of auto-analgesia pump in alleviating postoperative pain of uterine artery embolization.Methods:46patients with uterine scar pregnancy were enrolled in this study.These patients were randomly divided into two groups:observation group(n=23)and control group(n=23).The patients in the observation group were IV infused with auto-analgesia pump immediately after UAE while the patients in the control group were treated with paclitaxel hydrochloride(50mg)and isoproterenol(25mg).The visual analogue scale(VAS)of the two groups at different times(0,4,8,16,24,and48h)was compared to evaluate the degree of the pain.The Brinell comfort score(BCS)was also used to evaluate the comfort degree yet both two groups showed poor responding.Results:The VAS score and BCS score of the observation group were not statistically significant(P>0.05),the VAS score was lower than that of the control group at4,8,16,24and48h after operation,and the difference was Statistically significant(P<0.05).BCS scores4,8,16,24,48h in the observation group were higher than the control group,the difference was statistically significant(P<0.05).Adverse reactions were significantly less than those in the control group,the difference was statistically significant(P<0.05).Conclusion:The auto-analgesia pump can be effectively used in UAE,which can reduce the degree of postoperative pain and improve the comfort and satisfaction of patients.