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超低压间歇性栓塞法预防和控制子宫动脉栓塞术过程中的疼痛
引用本文:赵剑波,李彦豪,陈勇,何晓峰,曾庆乐,卢伟,申鹏.超低压间歇性栓塞法预防和控制子宫动脉栓塞术过程中的疼痛[J].中国介入影像与治疗学,2004,1(1):19-22.
作者姓名:赵剑波  李彦豪  陈勇  何晓峰  曾庆乐  卢伟  申鹏
作者单位:第一军医大学附属南方医院介入治疗科,广东,广州,510515
摘    要:目的 观察超低压间歇性栓塞法治疗子宫肌瘤对术中及术后疼痛预防及控制的作用。方法 40例子宫肌瘤患者接受子宫动脉栓塞(UAE)治疗,分为A(实验组)、B(对照组)二组,A组采用超低压间歇性栓塞法。B组采用常规低压流控法。术后统计患者所用镇痛药物级别并填写疼痛评定量表。结果A组使用一、二、三阶梯镇痛药者例数分别为8例、10例、0例,未用止痛药2例;B组相应为3例、5例、12例和0例。疼痛评定量表结果中A组评分良好有14例,基本满意为4例,差为2例。结论 正确采用超低压间歇性栓塞法可明显减低、消除子宫肌瘤UAE治疗过程中的疼痛。

关 键 词:肌瘤,子宫  疼痛  动脉栓塞  放射学,介入性
文章编号:1672-8475(2004)01-0019-04
收稿时间:7/1/2004 12:00:00 AM
修稿时间:2004年7月1日

Using intermittent injection with super-low pressure to prevent and control the pain during uterine artery embolization
ZHAO Jian-bo,LI Yan-hao,CHEN Yong,HE Xiao-feng,ZENG Qing-le,LU Wei and SHEN Peng.Using intermittent injection with super-low pressure to prevent and control the pain during uterine artery embolization[J].Chinese Journal of Interventional Imaging and Therapy,2004,1(1):19-22.
Authors:ZHAO Jian-bo  LI Yan-hao  CHEN Yong  HE Xiao-feng  ZENG Qing-le  LU Wei and SHEN Peng
Institution:Department of Radiology, Nanfang Hospital, the First Military Medical University, Guangzhou 510515, China;Department of Radiology, Nanfang Hospital, the First Military Medical University, Guangzhou 510515, China;Department of Radiology, Nanfang Hospital, the First Military Medical University, Guangzhou 510515, China;Department of Radiology, Nanfang Hospital, the First Military Medical University, Guangzhou 510515, China;Department of Radiology, Nanfang Hospital, the First Military Medical University, Guangzhou 510515, China;Department of Radiology, Nanfang Hospital, the First Military Medical University, Guangzhou 510515, China;Department of Radiology, Nanfang Hospital, the First Military Medical University, Guangzhou 510515, China
Abstract:Objective To observe the effects of the intermi tten t injection with super-low pressure on the pain control during and after the op eration of uterine artery embolization (UAE) for uterine myoma. Methods Forty cases of uterine myoma submitted to UAE therapy were divided int o groups of A (experimental group) and B (control group). Patients in Group A we re performed the uterine artery embolization with the intermittent injection at a super-low pressure, while those in Group B were performed the routine UAE. Af ter operation, the ranks of used analgesic of the subjects were recorded and the pain evaluation scale (PES) was used. Results According to WHO analgesic ladder, the first, second and third step analgesic user in Group A wa s 8, 10 and 0 cases, respectively, with 2 cases of non-analgesic user, while in Group B was 3, 5 and 12 cases, respectively, without non-analgesic user. PES s howed 14 cases of good pain control, 4 satisfying and 2 poor in group A. Conclusion The technical aspects of the uterine artery embolization w ith intermittent injection of super-low pressure can obviously decrease, even e liminate the pain.
Keywords:Fibroids  uterine  Pain  Artery embolization  Rad iology  interventional
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