医学临床研究
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医学临床研究  2019, Vol. 36 Issue (10): 1926-1928    DOI: 10.3969/j.issn.1671-7171.2019.10.018
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术前应用间苯三酚联合奥布卡因对宫腔镜手术患者宫颈软化程度、VRS评分及不良反应的影响
罗才全a, 左国会b
重庆黔江中心医院:a. 妇产科; b. 产科,重庆 409099
Effect of Phloroglucinol Combined with Obucain on Cervical Softening Degree, VRS Score and Adverse Reactions in Patients Undergoing Hysteroscopy
LUO Cai-quan, ZUO Guo-hui
Department of Obstetrics and Gynecology,Chongqing Qianjiang Central Hospital,Qianjiang Chongqing,409099
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摘要 目的】探讨术前应用间苯三酚联合奥布卡因对宫腔镜手术患者宫颈软化程度、语言描述疼痛评分法(VRS)评分及不良反应的影响。【方法】选取2017年3月至2018年3月在本院接受宫腔镜手术124例患者,随机分为对照组和观察组,每组62例。对照组术前仅给予奥布卡因药物,观察组在对照组基础上加用间苯三酚药物,观察并比较两组患者宫颈软化程度、手术指标、生命体征、VRS评分及不良反应。【结果】观察组宫颈软化总有效率为96.77%(60/62),显著高于对照组77.42%(48/62)(P<0.05);观察组手术时间、术中出血量均少于对照组,且视野清晰度高于对照组(P<0.05);两组患者给药前平均动脉压(MAP)、血氧饱和度(SpO2)、心率(HR)比较差异无统计学意义(P>0.05);两组给药后心率(HR)较给药前有所增加,SpO2较给药前降低,且观察组HR低于对照组(P<0.05);观察组VRS评分优为64.52%(40/62),明显高于对照组的33.87%(21/62)(P<0.05);观察组总不良反应发生率为3.23%(2/62),明显低于对照组17.74%(11/62)(P<0.05)。【结论】术前应用间苯三酚联合奥布卡因可提高宫腔镜手术患者宫颈软化程度,扩张宫颈,缩短手术时间,减少出血量,对稳定生命体征、降低疼痛、减少不良反应等方面也具有积极影响。
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罗才全
左国会
关键词 宫腔镜检查/副作用药物疗法/联合    
Abstract:【Objective】To investigate the effect of phloroglucinol combined with obucain on cervical softening, VRS and adverse reactions in patients undergoing hysteroscopic surgery.【Methods】From March 2017 to March 2018, 124 patients undergoing hysteroscopic surgery in our hospital were randomly divided into control group and observation group, with 62 cases in each group. The patients in the observation group were treated with phloroglucinol on the basis of the control group. 【Results】The total effective rate of cervical softening in the observation group was 96.77% (60/62), significantly higher than that in the control group (77.42%) (P<0.05); after administration, the heart rate (HR) of the two groups increased, SpO2 decreased, and HR of the observation group was lower than that of the control group (P<0.05); the VRS score of the observation group was 64.52% (40/62), significantly higher than 33.87% (21/62) of the control group (P<0.05); the total adverse reaction rate of the observation group was 3.23% (2/62), significantly lower than 17.74% (11/62) of the control group (P<0.05).【Conclusion】The preoperative application of phloroglucinol combined with obuccain can improve the cervical softening, dilate the cervix, shorten the operation time, reduce the amount of bleeding, and have a positive impact on stabilizing vital signs, reducing pain, reducing adverse reactions and so on.
Key wordsHysteroscopy/AE    Drug Therapy/ Combination
收稿日期: 2019-03-20     
PACS:  R713  
通讯作者: E-mail:840526050@qq.com   
引用本文:   
罗才全, 左国会. 术前应用间苯三酚联合奥布卡因对宫腔镜手术患者宫颈软化程度、VRS评分及不良反应的影响[J]. 医学临床研究, 2019, 36(10): 1926-1928.
LUO Cai-quan, ZUO Guo-hui. Effect of Phloroglucinol Combined with Obucain on Cervical Softening Degree, VRS Score and Adverse Reactions in Patients Undergoing Hysteroscopy. JOURNAL OF CLINICAL RESEARCH, 2019, 36(10): 1926-1928.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.10.018     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I10/1926
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