OFİS HİSTEROSKOPİDE ANALJEZİ AMAÇLI LOKAL ANESTEZİ YÖNTEMLERİNİN ETKİNLİĞİNİN KARŞILAŞTIRILMASI (Efficacy of Local Anesthesia for Office Hysteroscopy)
| Autor: | Resul Karakuş, Selçuk Ayas, Ahmad Namazov, Ali Doğukan Anğın, Sevcan Arzu Arınkan, Mesut Polat, Sultan Seren Karakuş |
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| Rok vydání: | 2014 |
| Předmět: |
Infertility
medicine.medical_specialty Pregnancy Office hysteroscopy Local anesthesia PainCİLT: 45 YIL: 2014 SAYI: 3 medicine.diagnostic_test Lidocaine business.industry medicine.disease Surgery Endoscopy Hysteroscopy Anesthesia Obstetrics and Gynaecology Medicine Pediatrics Perinatology and Child Health business Ofis Histeroskopi Lokal anestezi Ağrı Vaginal speculum Vas score medicine.drug |
| Zdroj: | Volume: 45, Issue: 3 136-141 Zeynep Kamil Tıp Bülteni |
| ISSN: | 2148-4864 1300-7971 |
| Popis: | Objectives: Hysteroscopy is a safe and simple procedure which is performed for evaluation and also for treatment of abnormal uterine bleeding, infertility and recurrent pregnancy loss. In this study we aimed to evaluate the efficacy of the local anesthesia techniques for office hysteroscopy.Material and Methods: This randomised, double-blinded and placebo-controlled trial was performed including the 100 patients who had hysterocopy procedure with the indications of habituel abortus, infertility and anormal uterine bleeding. The study was conducted at Zeynep Kamil Women and Children Diseases Training and Research Hospital, department of endoscopy in Istanbul, between January 2011 and December 2012.Results: VAS score at the insertion of vaginal speculum was significantly lower at the patients who had intrauterine lidocaine administration (p0,05). When we compare the VAS scores at the hysteroscope insertion and during the procedure, between the groups, patients who had anesthesia rated lower scores. Also, the patients who had intrauterine lidocaine had lower VAS scores when compared to other groups. Although VAS score at the 30 minutes after the procedure was lower at the groups who had intrauterine lidocaine administration, this difference was not statistically significant.Conclusion: Intrauterine topical local anesthesia seems to be effective in decreasing the pain in women undergoing hysteroscopy. Giriş: Ofis histeroskopi anormal uterin kanama, infertilite, tekrarlayan gebelik kayıplarınının değerlendirilmesinde kullanılan önemli bir prosedürdür. Klinisyenlerin tecrübesinin artması ve teknolojik gelişmeler histeroskopi uygulama endikasyonlarını her gün daha da arttırmaktadır. Biz de çalışmamızda tanısal histeroskopi yapılan hastalarda lokal analjezi yöntemlerinin etkinliğini araştırmayı amaçladık.Materyal ve Metod: Çalışmamıza hastanemiz etik kurulundan onay alındıktan sonra 2011 ile 2012 yılları arasında Zeynep Kamil Kadın ve Çocuk Hastalıkları Eiğtim ve Araştırma Hastanesi Kadın Doğum Endoskopi Kliniğinde infertilite, habitüel abortus ve anormal uterin kanama nedeniyle tanısal histeroskopi yapılan 100 hasta dahil edildi. Hastalar zarf üsülü ile randomize edilerek ,intrauterin lidokain uygulanan, intrauterin lidokain +servikal sprey uygulanan, servikal sprey uygulanan ve plasebo grubu olarak dört gruba ayrıldı. Verilerin analizinde SPSS 19.0 programı kullanıldı.Bulgular: Bütün hasta gruplarında en fazla ağrının işlem sırasında olduğu ifade edildi. Işlem sırasında ( histereskop insersiyonu ve kavite değerlendirilmesi) kaydedilen VAS puanları intrauterin lidokain kullanılan iki grupta diğer gruplara kıyasla istatistiksel olarak daha düşük saptandı. Tenakulum uygulanması sırasında kaydedilen ağrı puanı servikal sprey kullanılan 2 grupta daha düşük saptandı.Sonuç: Servikal sprey uygulanan hastalarda tenakulum takılması sırasında ağrının plaseboya kıyasla daha az olduğu izlendi. İntrauterin topikal anestezinin ise işlem sırasında ve işlemden sonra ağrıyı azalttığı tespit edildi. ABSTRACT:Objectives: Hysteroscopy is a safe and simple procedure which is performed for evaluation and also for treatment of abnormal uterine bleeding, infertility and recurrent pregnancy loss. In this study we aimed to evaluate the efficacy of the local anesthesia techniques for office hysteroscopy.Material and Methods: This randomised, double-blinded and placebo-controlled trial was performed including the 100 patients who had hysterocopy procedure with the indications of habituel abortus, infertility and anormal uterine bleeding. The study was conducted at Zeynep Kamil Women and Children Diseases Training and Research Hospital, department of endoscopy in Istanbul, between January 2011- December 2012Results: VAS score at the insertion of vaginal speculum was significantly lower at the patients who had intrauterine lidocaine administration (p0,05) When we compare the VAS scores at the hysteroscope insertion and during the procedure, between the groups, patients who had anesthesia rated lower scores. Also, the patients who had intrauterine lidocaine had lower VAS scores when compared to other groups. Although VAS score at the 30 minutes after the procedure was lower at the groups who had intrauterine lidocaine administration , this difference was not statistically significant.Conclusion: Intrauterine topical local anesthesia seems to be effective in decreasing the pain in women undergoing hysteroscopyKey words: Office hysterescopy, pain, local anesthesia |
| Databáze: | OpenAIRE |
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