针刺镇痛在妇科微创诊断性手术操作中的效果评价

来源 :世界核心医学期刊文摘(妇产科学分册) | 被引量 : 0次 | 上传用户:aaron722
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The aim of this study was to evaluate the effect of acupuncture analgosedation (AAS) in minor gynecologic operative-diagnostic procedures. Material and Methods: The prospective study included 43 women with minor gynecologic operative procedures. All women were treated using manual acupuncture (AP) points with analgetic and sedative effects. Out of a total of 43 women, 9 had cervical polyps, requiring polyp ablation, cervical channel excochleation (ECC), and dilatation, and curettage (D & C), and 2 patients required a paracervical anaesthesia (PCA) during dilatation of the cervical channel. ECC and D & C were done in 6 women with ultrasonographically suspicious endometrial neoplasias, in 10 women with perimenopausal metrorrhagia, and in 5 women with postmenopausal metrorrhagia. PCA was necessary in 1 woman with endometrial neoplasia, in 2 with perimenopausal metrorrhagia, and in 1 with postmenopausal metrorrhagia. In 2 cases the diagnosis was missed abortion and in 6 cases incomplete spontaneous miscarriage, requiring dilatation, evacuation, and curettage (D & E & C). In the group with missed abortion PCA was necessary in 2 and intravenous analgosedation (ivAS) in 1 woman. In a young nulliparous woman with incomplete spontaneous abortion, in addition to AAS, PCA and ivAS were required due to severe pain and psycho-emotional instability. Loop excision of the transformation zone is a very painful procedure, so 1 woman needed PCA and 1 woman ivAS. Sonohysterosalpingography was done twice for primary sterility and once for secondary sterility, for which MS was sufficient during the operation. In a total of 43 patients treated with MS 10 PCA and 3 ivAS were additionally required. Results: A good analgosedative effect of AP during the operative-diagnostics procedures was achieved in 76.8% of cases. Conclusion: MS requires the full commitment of the obstetrician or anaesthesiologist during the AP procedure, as well as a good pre-analgosedation interview, since the patient s motivation and psycho-emotional state during the choice of AP points should be taken into consideration. The aim of this study was to evaluate the effect of acupuncture analgosedation (AAS) in minor gynecologic operative-diagnostic procedures. Material and Methods: The prospective study included 43 women with minor gynecologic operative procedures. All women were treated using manual acupuncture (AP) points with analgetic and sedative effects. Out of a total of 43 women, 9 had cervical polyps, requiring polyp ablation, cervical channel excochleation (ECC), and dilatation, and curettage (D & C), and 2 patients required a paracervical anaesthesia PCA was dilatation of the cervical channel. ECC and D & C were done in 6 women with ultrasonographically suspicious endometrial neoplasias, in 10 women with perimenopausal metrorrhagia, and in 5 women with postmenopausal metrorrhagia. PCA was necessary in 1 woman with endometrial neoplasia, in 2 with perimenopausal metrorrhagia, and in 1 with postmenopausal metrorrhagia. In 2 cases the diagnosis was missed abortion and in 6 cases incomplete sp ontaneous miscarriage, requiring dilatation, evacuation, and curettage (D & E & C). In the group with missed abortion PCA was necessary in 2 and intravenous analgosedation (ivAS) in 1 woman. In a young nulliparous woman with incomplete spontaneous abortion, in addition to AAS, PCA and ivAS were required due to severe pain and psycho-emotional instability. Loop excision of the transformation zone is a very painful procedure, so 1 woman needed PCA and 1 woman ivAS. Sonohysterosalpingography was done twice for primary sterility and once Results: A good analgosedative effect of AP during the operative-diagnostics procedures was achieved in 76.8% of cases. Conclusion: MS requires the full commitment of the obstetrician or anaesthesiologist during the AP procedure, as well as a good pre-analgosedation interview, since the patients motivation and psycho-emotional state during the choice of AP points should be taken into consideration.
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