聚焦超声消融手术治疗子宫腺肌病术后冰敷骶尾部减轻疼痛的疗效分析  

Therapeutic effect of ice compress on relieving sacrococcygeal pain after focused ultrasound ablation surgery for adenomyosis

作　　者：潘彧 严利华 梁兰 瞿大成[2] 李莉[1] PAN Yu;YAN Li-hua;LIANG Lan;QU Da-cheng;LI Li(School of Nursing,North Sichuan Medical College,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China;Department of Obstetrics and Gynecology,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院护理学院,四川南充637000 [2]川北医学院附属医院妇产科,四川南充637000

出　　处：《川北医学院学报》2024年第7期996-999,共4页Journal of North Sichuan Medical College

基　　金：川北医学院科研计划项目(CBY20-QA-Y12)。

摘　　要：目的:探讨聚焦超声消融手术(FUAS)治疗子宫腺肌病术后使用冰袋冰敷患者骶尾部减轻骶尾部疼痛的有效性。方法:选取110例采用FUAS治疗的子宫腺肌病患者为研究对象,根据患者术后是否采用骶尾部冰敷分为两组。冰敷组:术后即刻俯卧位,给予冰袋间断冰敷骶尾部;常规护理组:术后即刻俯卧位,给予常规护理。采用数字评定量表(NRS)比较两组患者术后2、6、24 h骶尾部疼痛的发生率及疼痛程度及术后24 h复查盆腔核磁共振(MRI),比较两组患者术后骶尾部水肿发生率。结果:所有研究对象均顺利完成FUAS治疗,常规护理组1例患者因术后疼痛明显给予盐酸哌替啶止痛,最终冰敷组纳入55例,常规护理组纳入54例。两组患者的一般资料、子宫腺肌病特征及FUAS治疗参数比较,差异均无统计学意义(P>0.05)。术后2、6、24 h,冰敷组骶尾部疼痛发生率及骶尾部疼痛NRS评分均低于常规护理组(P<0.05),术后冰敷组骶尾部水肿的发生率低于常规护理组(P<0.05)。结论:FUAS治疗子宫腺肌病术后即刻冰敷骶尾部可降低骶尾部疼痛和骶尾部水肿的发生率,减轻骶尾部疼痛的程度。Objective:To evaluate the efficacy of ice compress on relieving sacrococcygeal pain after focused ultrasound ablation surgery(FUAS)for adenomyosis.Methods:110 patients with adenomyosis treated by FUAS were selected as the research subjects.They were divided into two groups based on whether ice packs were immediately applied to the sacrococcygeal region after FUAS surgery.Ice pack group:Immediately after FUAS surgery,lie prone and use ice packs to intermittently ice pack the sacrococcygeal region.Routine care group:Immediately after FUAS surgery,lie prone and receive routine care.Using the Digital Rating Scale(NRS),the incidence and severity of sacrococcygeal pain were compared between two groups of patients at 2 hours,6 hours,and 24 hours postoperatively,as well as a follow-up pelvic magnetic resonance imaging(MRI)at 24 hours postoperatively to compare the incidence of sacrococcygeal edema between the two groups of patients.Results:All study subjects successfully completed FUAS treatment.1 patient in the routine care group was treated with pethidine hydrochloride for obvious postoperative pain,which was excluded.Finally,55 patients were included in the ice pack group and 54 patients were included in the routine care group.There was no statistically significant difference in the general information,characteristics of adenomyosis,and FUAS treatment parameters between the two groups of patients(P>0.05).The incidence of sacrococcygeal pain and the NRS score of sacrococcygeal pain in the ice compress group were lower than those in the conventional nursing group at 2,6,and 24 h postoperatively(P<0.05),and the incidence of sacrococcygeal edema in the ice compress group was lower than that in the conventional nursing group(P<0.05).Conclusion:Immediate ice compress to the sacrococcygeal bone after FUAS treatment for adenomyosis can reduce the incidence of sacrococcygeal edema and pain,and alleviate the degree of sacrococcygeal pain.

关 键 词：子宫腺肌病 聚焦超声消融手术 骶尾部疼痛 骶尾部水肿 冰敷 

分 类 号：R711.77[医药卫生—妇产科学]