引用本文: | 许莉莉,杨柳,赵仁峰.经皮神经电刺激用于宫腔镜检术后止痛 的疗效观察[J].中国临床新医学,0,():-. |
| XU Li-Li,YANG Liu,ZHAO Ren-Feng ..经皮神经电刺激用于宫腔镜检术后止痛 的疗效观察[J].中国临床新医学,0,():-. |
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摘要: |
目的 观察经皮神经电刺激用于宫腔镜检术后止痛的疗效。方法 选择2017年1月至2018年7月在该院妇科进行宫腔镜检查手术的患者共450例作为研究对象,采用抽签的方式将研究对象随机分为经皮神经电刺激治疗(TENS)治疗组、药物治疗组以及安慰剂对照组各150例,采用视觉模拟(VAS)评分法比较治疗前、治疗后30分钟、治疗后60分钟、治疗后120分钟三组疼痛评分的变化。结果 三组患者治疗前VAS评分差异无统计学意义(P≥0.05)。治疗后30分钟TENS治疗组VAS评分较治疗前有下降,差异有统计学意义(P<0.01),药物治疗组和安慰剂对照组治疗前后VAS评分无明显变化。治疗后60分钟TENS治疗组、药物治疗组、安慰剂对照组较治疗前VAS评分均较前下降,差异有统计学意义(P<0.01),以TENS治疗组和药物治疗组较安慰剂对照组VAS评分下降更为明显,差异有统计学意义(P<0.01)。治疗后120分钟三组治疗前后VAS评分继续较前下降,治疗前后差异有统计学意义,但三组间VAS评分差异无统计学意义。结论 TENS对疼痛治疗效果安全确切,有可能成为治疗宫腔镜检查手术后疼痛的主要方法。 |
关键词: 经皮神经电刺激 宫腔镜 疼痛 |
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基金项目:中华预防医学会“中国妇女盆底功能障碍防治”科研项目(20132008);广西卫计委科研课题(编号:Z20170312) |
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The effect of transcutaneous electric nervous stimulation after hysteroscopy. |
XU Li-Li, YANG Liu, ZHAO Ren-Feng .
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Department of gynecology,the People’s Hospital of Guangxi Zhuang Antonomous Region,Nanning
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Abstract: |
Objective To observe The effect of transcutaneous electric nervous stimulation after hysteroscopy. Methods 450 patients, who examined by hysteroscopy between January 2017 and July 2018, were randomly divided into the TENS group, the drug group, and the placebo group, compared VAS pain score three groups before and after treatment for 30 minutes, 60 minutesand 120 minutes,. Result There was no statistically significant difference in VAS pain score before treatment between the three groups (P≥0.05). The VAS pain score of the TENS group decreased after 30 minutes of treatment compared with that before, and the difference was statistically significant (P < 0.01). There was no significant change in the VAS pain score before and after treatment in the drug group and the placebo group. The VAS pain score of the TENS group, the drug group and the placebo group decreased at 60 minutes after treatment, and the difference was statistically significant (P < 0.01). The VAS score of the TENS group and the drug treatment group decreased more significantly than that of the placebo group (P < 0.01). The VAS scores of the three groups continued to decline after 120 minutes of treatment, and the differences were statistically significant before and after treatment, but the differences between the three groups were not statistically significant. Conclusion TENS is safe and effective in pain management and may be the new better method to management painful after hysteroscopy. |
Key words: transcutaneous electric nervous stimulation hysteroscopy pain |