羟考酮超前镇痛联合术后静脉镇痛在子宫动脉栓塞治疗中的应用效果

The Application Effect of Oxycodone Preemptive Analgesia Combined with Postoperative Intravenous Analgesia in the Treatment of Uterine Artery Embolization

目的:探究羟考酮超前镇痛联合术后静脉镇痛在子宫动脉栓塞治疗中的应用效果。方法:选取2022年1月—2024年4月菏泽市曹县人民医院综合介入科收治的62例子宫动脉栓塞患者为研究对象,经随机数字表法分为非超前组(31例)和羟考酮组(31例)。非超前组患者应用术后静脉镇痛,羟考酮组应用羟考酮超前镇痛联合术后静脉镇痛。对比两组术中、术后疼痛程度,评估患者舒适度和不良反应发生情况。结果:羟考酮组术中及术后6、12、24、48、72 h视觉模拟评分法评分低于非超前组(P<0.05)。羟考酮组术中及术后6、12、24、48、72 h舒适状况量表评分高于非超前组(P<0.05)。两组不良反应总发生率比较,无统计学差异(P>0.05)。结论:羟考酮超前镇痛联合术后静脉镇痛在子宫动脉栓塞治疗中的应用效果确切,可有效减轻患者术中及术后疼痛程度,提高患者舒适度,且未增加不良反应发生风险。

Objective:To investigate the application effect of oxycodone preemptive analgesia combined with postoperative intravenous analgesia in uterine artery embolization treatment.Methods:Sixty-two patients with uterine artery embolism admitted to the Department of Comprehensive Intervention of Heze Caoxian People's Hospital from January 2022 to April 2024 were selected for the study,and were divided into the non-preemptive group(31 cases)and the oxycodone group(31 cases)by the method of randomized numerical table.Postoperative intravenous analgesia was applied to the patients in the non-preemptive group,and oxycodone was applied to the oxycodone preemptive analgesia combined with postoperative intravenous analgesia in the oxycodone group.Intraoperative and postoperative pain levels were compared between the two groups,and patient comfort and the occurrence of adverse reactions were assessed.Results:The intraoperative and postoperative 6,12,24,48,72 h visual analog scoring method scores of the oxycodone group were lower than those of the non-preemptive group(P<0.05).The intraoperative and postoperative 6,12,24,48,72 h scores of the Comfort Condition Scale scores of the oxycodone group were higher than those of the non-preemptive group(P<0.05).And the comparison of the total incidence rates of adverse reactions in the two groups did not have any statistically significant difference(P>0.05).Conclusion:The application of oxycodone preemptive analgesia combined with postoperative intravenous analgesia in the treatment of uterine artery embolization has a definite effect,which can effectively reduce the degree of intraoperative and postoperative pain and improve the comfort of patients,and does not increase the risk of adverse reactions.