摘要
目的观察上腹下神经丛阻滞(SHNB)缓解子宫动脉栓塞(UAE)后疼痛的效果。方法回顾性分析25例接受UAE的子宫肌瘤患者,根据镇痛方式分为SHNB组(n=11)及非SHNB组(n=14,外周静脉镇痛);记录SHNB技术成功率及并发症;比较组间UAE后数字疼痛评分(NRS)最高分、UAE后应用阿片类药物总剂量及完成UAE至首次额外应用阿片类药物间隔时间。结果组间患者年龄、体质量及子宫肌瘤最大径差异均无统计学意义(P均>0.05)。SHNB技术成功率100%(11/11);未见下肢放射性麻木、药物注射入血、腹腔出血及腹膜炎等并发症。SHNB组UAE后NRS最高分及应用阿片类药物总剂量均显著低于、而完成UAE至首次额外应用阿片类药物间隔时间显著长于非SHNM组(P均<0.001)。结论SHNB可有效缓解子宫肌瘤患者UAE术后疼痛,减少镇痛药物剂量。
Objective To explore the efficacy of superior hypogastric nerve block(SHNB)for alleviating pain after uterine artery embolization(UAE).Methods Twenty-five patients with hysteromyoma who underwent UAE were retrospectively enrolled.The patients were divided into SHNB group(n=11)and non-SHNB group(n=14,receiving peripheral intravenous analgesia)according to analgesia methods.The technique success rate and complication of SHNB were recorded.The maximum score of numeric pain-rating scale(NRS),the total dose of opioid consumption after UAE and the interval time between UAE completed to the first additional use of opioid were compared between groups.Results No significant difference of patient’s age,body mass nor the maximum diameter of hysteromyoma was found between groups(all P>0.05).The technique success rate of SHNB was 100%(11/11).No complication such as lower limb radiating numbness,intravascular injection,intraperitoneal hemorrhage nor peritonitis occurred.The maximum score of NRS after UAE and the total dose of opioid consumption after UAE in SHNB group were both significantly lower,while the interval time between UAE completed to the first additional use of opioid in SHNB group was significantly longer than those in non-SHNB group(all P<0.001).Conclusion SHNB was effective for alleviating pain and reducing required dosage of analgesic medications after UAE in patients with hysteromyoma.
作者
孙亚鹏
沈利明
黄剑
陆玉长
SUN Yapeng;SHEN Liming;HUANG Jian;LU Yuchang(Department of Interventional and Vascular Surgery,the Affiliated Suzhou Hospital of Nanjing University Medical School,Suzhou 215009,China;Department of Vascular Surgery,Suzhou Municipal Hospital,Suzhou 215026,China)
出处
《中国介入影像与治疗学》
北大核心
2024年第9期532-535,共4页
Chinese Journal of Interventional Imaging and Therapy
