医学
利多卡因
宫腔镜检查
麻醉
可视模拟标度
四分位间距
丸(消化)
外科
生理盐水
入射(几何)
局部麻醉剂
恶心
光学
物理
作者
Jiyoung Lee,Seung‐Hoon Lee,Heungwoo Lee,Hyeon Chul Kim,Chunghyun Park,Jong Yeop Kim
出处
期刊:Medicine
[Ovid Technologies (Wolters Kluwer)]
日期:2020-10-16
卷期号:99 (42): e22751-e22751
标识
DOI:10.1097/md.0000000000022751
摘要
The use of hysteroscopy for the diagnosis and treatment of uterine and endometrial abnormalities is often associated with postoperative pain. This randomized controlled trial aimed to assess the efficacy of preoperative intravenous (IV) lidocaine in reducing pain after hysteroscopy.In total, 138 patients undergoing elective hysteroscopy at the CHA Bundang Medical Center, Seongnam, Korea were randomly assigned to a control group (n = 69) or a lidocaine group (n = 69), which received normal saline or IV lidocaine at 1.5 mg/kg, respectively. The primary outcome was the incidence of postoperative pain.The incidence of pain was significantly lower in the IV lidocaine group than in the control group at the post-anesthesia care unit (27.3% vs 68.2%, P < .001). The visual analog scale (0-10) score (median [interquartile range]) was lower in the IV lidocaine group than in the control group (0 [0-2]) vs 2 [0-4]), P < .001). The use of rescue analgesics and postoperative nausea and vomiting were similar between the 2 groups. This study demonstrated that administering 1.5 mg/kg of preoperative IV lidocaine can be a simple method to reduce incidence of pain after hysteroscopy.Preoperative bolus administration of 1.5 mg/kg of IV lidocaine may be used to decrease incidence of pain after hysteroscopy under general anesthesia.
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