摘要
目的总结在子宫动脉栓塞治疗子宫肌瘤时,使用静脉自控镇痛泵对预防术中及术后疼痛及介入相关指标临床疗效和经验。方法 109例子宫肌瘤行双侧子宫动脉栓塞的病例,采用碘油平阳霉素乳剂加明胶海绵颗粒为栓塞材料,其中80例使用静脉自控镇痛泵,另29例使用利多卡因100mg(2m1)加生理盐水4.0ml稀释成6.0ml,患者疼痛不适时由导管注入,必要时加肌肉注射度冷丁50mg。记录栓塞治疗中及治疗后患者急性缺血反应和症状。结果与未使用静脉自控镇痛泵的病例相比,使用静脉自控镇痛泵患者术中及术后疼痛症状明显减轻,镇痛效果达85%(68/80例),与常规镇痛存在显著差异性。结论子宫动脉栓塞治疗子宫肌瘤时使用静脉自控镇痛泵可以显著减轻常规栓塞治疗时的疼痛症状,是一种操作简单,效果好的方法,可推进子宫肌瘤动脉栓塞术的广泛应用。
Objective To report our experience of using patient-controlled venous analgesia pump during and after uterine artery emholization treatment of fibroids. Methods 109 cases of uterine leiomyomas were treated with bilateral uterine artery embolization using iodinated Pingyangmyein hydrochloride oil emulsion and gelatin sponge granules. Patient-controlled ve- nous analgesia pump was used in 80 patients whereas the remaining 29 patients received intra-catheter injection of Lidocaine 100 mg （2 mL） diluted to 6 mL using 4 mL of saline, and when necessary, intramuscular injection of 50 mg of pethidine. Any acute ischemic symptoms during or after the embolization treatment were recorded. Results The analgesic effect using patient-controlled venous analgesia pump was 85% （68/80） and significantly higher than that of control group with conventional analgesia. Conclusion Patient-controlled venous analgesia pump is simple, less painful and effective method of administering analgesia in uterine artery embolization offibroids.
出处
《影像诊断与介入放射学》
2011年第2期130-133,共4页
Diagnostic Imaging & Interventional Radiology
关键词
子宫动脉栓塞术
自控镇痛泵
介入放射学
镇痛
Uterine artery embolization
Patient-controlled analgesia
Interventional radiology
Analgesia
