镇静镇痛方案用于高强度聚焦超声治疗子宫肌瘤的临床研究  

The protocol for sedation and analgesia in treatment of uterine fibroids by HIFU:a clinical study

作　　者：冉隆青 魏安宁[2] 刘怀清 陈文直[2] 

机构地区：[1]四川成都市妇女儿童中心医院,四川成都610014 [2]重庆医科大学附属二院,重庆400015 [3]重庆南桐总医院,重庆400802

出　　处：《中国医刊》2013年第12期45-47,共3页Chinese Journal of Medicine

摘　　要：目的 评价阶梯式逐步给药的镇静、镇痛方案用于高强度聚焦超声（HIFU）治疗子宫肌瘤的安全性和可行性.方法 82例ASAⅠ～Ⅱ级的子宫肌瘤患者,在采用阶梯式逐步给药的镇静镇痛方案进行镇静和镇痛的条件下,用HIFU治疗子宫肌瘤.结果 82例患者镇静深度Ramsy评级平均值为（2.58±0.62）分,无镇静评级大于4级,无苏醒延迟.82例患者疼痛评分平均值为（3.43±0.70）分,评分低于4分的患者80例,镇痛有效率为97.6% （80/82）.治疗中的平均动脉压、心率、氧饱和度,与治疗前比较差异无显著性.呼吸平均次数治疗中较治疗前下降,差异有显著性.结论 阶梯式逐步用药的镇静、镇痛方案,用于HIFU治疗子宫肌瘤是安全和可行的.Objective To evaluate thee safety and feasibility of stepwise protocol for sedation and analgesia in treat- ment of uterine fibroids by high intensity focus ultrasound（HIFU）. Method Eighty-two Patients with uterine fibroids （ASA I - II ） were treated by HIFU after sedation and analgesia with The stepwise protocol. Result The average Ramsy sedation scores was （2.58±0.62）, None of scores was more than 4 and no patient was delay for recovery. The average pain score was （3.43 ±0.70） in all cases and there were 80 cases whose pain scores were less than 4, The effective power of analgesia was （80/82） , The disparation does not have significance for MPA,SPO2 and heart rate between pre and during treatment. The respiratory rate during treatment decreased compared with that pre-treatment and The disparation have significance. Conclusion The stepwise protocol for sedation and analgesia is safe and feasible in treatment of uterine fibroids by HIFU.

关 键 词：高强度聚焦超声 子宫肌瘤 镇静 镇痛 

分 类 号：R713[医药卫生—妇产科学]