摘要
目的探讨子宫瘢痕妊娠患者行双侧子宫动脉栓塞术中应用布托啡诺的镇痛效果及术后疼痛的影响。方法选择行双侧子宫动脉栓塞术治疗的子宫瘢痕妊娠患者120例,随机分为布托啡诺组和对照组,布托啡诺组在子宫动脉栓塞术(UAE)开始时即给予酒石酸布托啡诺针2mg肌内注射,对照组无特殊处理。视觉模拟评分法(VAS)作术前T0及术后0~12 h(T12)、12~24 h(T24)、24~48 h(T48)评分,并记录患者主观舒适度评分(BCS)及术后24 h内主动要求镇痛的人数及所用镇痛药的吗啡当量。结果布托啡诺组患者在UAE术后疼痛程度以及控制较对照组好,术后T12、T24布托啡诺组的VAS及BCS评分均优于对照组。术中及术后无明显不良反应。结论布托啡诺应用于子宫瘢痕妊娠UAE术中镇痛安全、有效。
Objective To evaluate the analgesic effect and postoperative pain of butorphanol in patients with cesarean scar pregnancy in uterine artery embolization.Methods A total of 120 patients with cesarean scar pregnancy who were treated with uterine artery embolization.The patients were divided into butorphanol group(n=60)and control group(n=60)randomly.Patients of the butorphanol group sublingually were injected 2 mg of butorphanol when UAE began,while no special treatment was selected for patients of control group.Visual analogue scale(VAS)was used to quantitatively evaluate the scores of the base line(T0)and at 0-12 hours(T12),12-24 hours(T24)and 24-48 hours(T48)after the treatment.And recorded the subjective comfort of the patients(Bruggrmann comfort scale,BCS)scores and the number of people who requested analgesia within 24 hours after surgery and the morphine equivalent of the analgesics used.Results After UAE the pain severity and pain-control exent of the butorphanol group were much better than those of the control group.The VAS and BCS scores of T12 and T24 of the butorphanol group were obviously better to those of the control group.There were no evident drug-related or side-effects reactions during and after the surgery.Conclusion Butorphanol is safe and effective for controlling pain in UAE for patients with cesarean scar pregnancy.
作者
蔡豹
吴轩
傅会亮
王东红
何长雨
CAI Bao;WU Xuan;FU Hui-liang;WANG Dong-hong;HE Chang-yu(Department of Intervention Onlology,Dongguan Kanghua Hospital,Dongguan523080 China)
出处
《内蒙古医学杂志》
2020年第7期781-783,共3页
Inner Mongolia Medical Journal
关键词
子宫瘢痕妊娠
布托啡诺
镇痛
子宫动脉栓塞术
cesarean scar pregnancy
butorphanol
analgesia
uterine artery embolization
作者简介
通讯作者:吴轩,E-mail:103063480@qq.com
