摘要
目的探讨剖宫产切口妊娠患者子宫动脉栓塞术后疼痛发生情况及其影响因素。方法对120例剖宫产切口妊娠患者在子宫动脉栓塞术后0、6、12、24h,采用数字疼痛评分法进行疼痛评估,收集疼痛相关因素(如术前测量疼痛敏感度、人口统计学资料及焦虑、抑郁等)。结果术后24h内中度及以上疼痛占58.33%;单因素分析显示,心理状态、疼痛敏感度、文化程度及手术时长是剖宫产切口妊娠患者子宫动脉栓塞术后中度及以上疼痛的相关因素(P<0.05,P<0.01)。结论子宫动脉栓塞术后疼痛发生率高,术前充分评估患者心理状态和实验性压力痛阈测试可用来预测术后患者疼痛,从而更好地管理和控制疼痛。
Objective To describe the incidence of pain in women with cesarean scar pregnancy(CSP)after uterine artery embolization(UAE)and to explore the influencing factors.Methods Pain intensity of 120 CSP women was assessed at immediately after and 6,12 and 24hafter UAE using the Numerical Rating Scale.And the related factors were also collected including pain sensitivity measured preoperatively,demographic data,anxiety and depression,etc..Results Nearly sixty percent(58.33%)of the women had moderate to severe pain.Mental state,pain sensitivity,education level and operation duration were related factors of moderate to severe pain after UAE(P<0.05,P<0.01).Conclusion The prevalence of pain was high in CSP women after UAE.Preoperative mental state assessment and pressure pain threshold test can predict postoperative pain intensity,thus to achieve better pain management and control.
作者
热孜万古力.热西提
彭巧君
刘文婷
程建云
Reziwanguli Rexiti;Peng Qiaojun;Liu Wenting;Cheng Jianyun(Second Division of Gynecology,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处
《护理学杂志》
CSCD
北大核心
2019年第2期24-26,共3页
Journal of Nursing Science
基金
新疆医科大学发展与改革项目(2017XYFG95)
关键词
剖宫产
切口妊娠
子宫动脉栓塞术
疼痛
痛阈
焦虑
抑郁
cesarean section
scar pregnancy
uterine arterial embolization
pain
pain threshold
anxiety
depression
