利多卡因联合曲马多注射液在子宫输卵管造影及疏通术中镇痛效果评价  

Evaluation of analgesic effect of lidocaine combined with tramadol injection in hysterosalpingography and fallopian tube dredging

作　　者：杨泽冉 孙学栋 杨思维 胡跃峰 金龙[1] YANG Zeran;SUN Xuedong;YANG Siwei;HU Yuefeng;JIN Long(Department of Interventional Radiology,Afiliated Beijing Friendship Hospital,Capital Medical University,Bejing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院放射介入科,北京1000500

出　　处：《介入放射学杂志》2024年第6期651-654,共4页Journal of Interventional Radiology

基　　金：吴阶平医学基金会临床科研项目(320.6750.2021-12-4)。

摘　　要：目的评价应用利多卡因胶浆宫颈口麻醉及曲马多宫腔注射麻醉在子宫输卵管造影术(HSG)及输卵管疏通治疗中的镇痛效果。方法选取2021年12月至2022年12月首都医科大学附属北京友谊医院收治的109例不孕症患者为研究对象。将患者分为麻醉组和非麻醉组。麻醉组HSG及输卵管通液疏通术中以利多卡因胶浆及曲马多注射液行宫颈及宫腔内麻醉,非麻醉组术中未予以任何麻醉措施,均为通畅患者。分析评估患者术中、术后0.5 h、术后24 h疼痛视觉模拟量表(VAS)评分。结果麻醉组HSG患者术中VAS评分低于非麻醉组,差异有统计学意义(P<0.01)。麻醉组所有患者均可良好耐受并完成HSG及输卵管疏通治疗。结论应用利多卡因胶浆联合曲马多注射液宫颈和宫腔内麻醉后,所有HSG及输卵管疏通治疗患者术中疼痛轻微,耐受性良好,不良反应发生率低。Objective To evaluate the analgesic effect of lidocaine gel cervical anaesthesia and tramadol uterine cavity injection anaesthesia in patients undergoing hysterosalpingography(HSG)and fallopian tube dredging.Methods A total of 109 infertile patients,who were admitted to the Affiliated Beijing Friendship Hospital of Capital Medical University of China between December 2021 and December 2022,were enrolled in this study.The patients were divided into anesthesia group and non-anesthesia group.For the patients of the anesthesia group,lidocaine gel cervical anaesthesia and tramadol uterine cavity injection anaesthesia were separately performed for HSG and fallopian tube dredging;while for the patients of the nonanesthesia group,no any anesthetic measure was given during the operation.The intraoperative,postoperative0.5-hour and 24-hour visual analog scale(VAS)scores were analyzed.Results The intraoperative VAS score in the anesthesia group was lower than that in the non-anesthesia group,and the difference was statistically significant(P<0.01).All patients of the anesthesia group could well tolerate and complete HSG and fallopian tube dredging procedure.Conclusion After the use of lidocaine gel cervical anaesthesia and tramadol uterine cavity injection anaesthesia,the patients have only mild pain during HSG and fallopian tube dredging procedure,the procedure becomes well tolerated,and the incidence of adverse reactions is also very low.

关 键 词：疼痛 X线子宫输卵管造影 输卵管通液 输卵管疏通 不孕症 

分 类 号：R711.6[医药卫生—妇产科学]