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间苯三酚可缓解老年患者宫腔镜检查术中疼痛
孙宁霞,金志军,李文*
0
(第二军医大学长征医院妇产科,上海 200003
*通信作者)
摘要:
目的 观察肌内注射间苯三酚对老年患者宫腔镜检查术中疼痛的影响。方法 130例接受宫腔镜检查的老年患者,年龄60~76岁,随机分为间苯三酚组和安慰剂组,各65例。间苯三酚组患者在行宫腔镜检查前5 min肌注间苯三酚80 mg,安慰剂组肌注生理盐水8 ml。应用疼痛数字分级法评价两组患者宫腔镜检查术中疼痛程度,观察进镜前及进镜后5 min 患者的心率、血压、血氧饱和度的变化。结果 间苯三酚组术中疼痛评分为2.8±1.5,低于安慰剂组的5.1±2.1,差异有统计学意义(P<0.05);安慰剂组进镜后5 min心率较进镜前增快[(88.7±18.3)次/min vs (75.8±18.9)次/min],差异有统计学意义(P<0.05)。两组血压、血氧饱和度差异无统计学意义。结论 肌注间苯三酚可有效缓解老年女性宫腔镜检查术中疼痛。
关键词:  间苯三酚  宫腔镜检查  疼痛
DOI:10.3724/SP.J.1008.2012.00681
投稿时间:2011-11-27修订日期:2012-05-07
基金项目:
Effect of phloroglucinol on pain in aged patients undergoing hysteroscopy
SUN Ning-xia,JIN Zhi-jun,LI Wen*
(Department of Obstetrics and Genecology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
*Corresponding author.)
Abstract:
Objective To study the role of intramuscular phloroglucinol injection in relieving pain of aged patients undergoing hysterescopy. Methods Totally 130 aged patients (aged from 60 to 76 years old) undergoing hysteroscopy were evenly randomized into the phloroglucinol group and placebo group.The phloroglucinol group received phloroglucinol (80 mg i.m.) 5 min before undergoing hysteroscopy; the placebo group received intramuscular injection of normal saline (8 ml).The pain degrees were measured by visual analog scales (VAS) in the two groups. The heart rate,blood pressure,and saturation of blood oxygen were observed before and 5 min after entering hysteroscope. Results The VAS score of phloroglucinol group was significantly lower than that in the placebo group (2.8±1.5 vs 5.1±2.1, P<0.05). The heart rate of the placebo group was significantly faster at 5 min after hysteroscopy compared with that before hysteroscopy (88.7±18.3/min vs 75.8±18.9/min, P<0.05).There were no significant differences in the blood pressure and saturation of blood oxygen between the two groups. Conclusion Intramuscular injection of phloroglucinol can alleviate the pain in aged female patients undergoing hysteroscopy.
Key words:  phloroglucinol  hysteroscopy  pain