酮咯酸氨丁三醇在子宫输卵管超声造影中的超前镇痛作用  

Preemptive analgesia effect of ketorolac tromethamine in hysterosalpingo-contrast sonography

作　　者：古梅 何玉梅 宁荣萍 倪姣 陈忠英 陈红坚 Gu Mei;He Yumei;Ning Rongping;Ni Jiao;Chen Zhongying;Chen Hongjian(Department of Ultrasound,the Third People's Hospital of Yunnan Province,Kunming 650200,China)

机构地区：[1]云南省第三人民医院超声医学影像科,昆明650200

出　　处：《中华医学超声杂志（电子版）》2020年第2期136-139,共4页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨酮咯酸氨丁三醇在经阴道四维子宫输卵管超声造影(TVS 4D-HyCoSy)中的超前镇痛作用。方法选取2018年5月至2019年3月于云南省第三人民医院因不孕症拟行TVS 4D-HyCoSy的患者102例。依据检查前使用镇痛药物的不同,将其分为观察组(造影前半小时肌内注射酮咯酸氨丁三醇)51例和对照组(造影前半小时肌内注射阿托品)51例,比较2组的镇痛效果及不良反应发生率。结果观察组镇痛总有效率为96.1%(49/51),对照组总有效率为82.4%(42/51)。观察组显效3例,有效46例,无效2例;对照组有效42例,无效9例,无一例显效。观察组超前镇痛效果优于对照组(Z=-2.707,P=0.007)。观察组不良反应发生率较对照组低(3.9%vs 23.5%),差异有统计学意义(χ2=8.279,P=0.004)。结论TVS 4D-HyCoSy前使用酮咯酸氨丁三醇超前镇痛的效果优于阿托品,值得临床推广运用。Objective To investigate the preemptive analgesia effect of ketorolac tromethamine in transvaginal four-dimensional hysterosalpingo-contrast sonography(TVS 4D-HyCoSy).Methods From May 2018 to March 2019,102 patients were scheduled to undergo TVS 4D-HyCoSy due to infertility at the Third People's Hospital of Yunnan Province.According to the different analgesics used before the test,they were divided into either an observation group(ketorolac tromethamine group;n=51)or a control group(atropine group;n=51).The analgesic effect and adverse reaction rate of the two groups were compared.Results The total effective rate of the observation group was 96.08%(49/51),and that of the control group was 82.35%(42/51).The analgesic effect of the observation group was significantly better than that of the control group(Z=-2.707,P<0.05).The rate of adverse reactions of the observation group was significantly lower than that of the control group(3.92%vs 23.53%,χ^2=8.279,P<0.05).Conclusion The analgesic effect of ketorolac tromethamine in TVS 4D-HyCoSy is better than that of atropine.

关 键 词：镇痛药 酮咯酸氨丁三醇 阿托品 子宫输卵管超声造影 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.6[医药卫生—诊断学]