Clark Shelley, Krishna Usha, Kallenbach Lisa, Mandlekar Ajita, Raote Veena, Ellertson Charlotte
Population Council, New York, USA.
Contraception. 2002 Oct;66(4):275-9. doi: 10.1016/s0010-7824(02)00348-7.
Women in India are rarely given a choice about their pain management methods for first trimester abortions. To investigate women's preferences and perceptions of pain, we allowed 100 women in Mumbai to choose between local and general anesthesia (60% selected general, while 40% elected local anesthesia). Using visual analog scales ranging from 1 to 7, women characterized their pain several times during their abortion visits. Local anesthesia clients reported more pain during (2.3 local vs. 1.0 general) and immediately after (1.9 vs. 1.0) the procedure. By three hours post-procedure, none of the women in either group reported any pain. General anesthesia clients reported that having no pain (95%) or anxiety (38%) were the best features, while local anesthesia clients liked being ambulatory (26%), avoiding side effects (26%), and feeling awake (21%). Though women in both groups were satisfied, local anesthesia clients were more likely to recommend it to friends (95% vs. 85%). Given these advantages, our study suggests that some women willingly accept additional pain incurred by exchanging local for general anesthesia.
在印度，对于妊娠早期流产的疼痛管理方法，女性很少有选择权。为了调查女性对疼痛的偏好和认知，我们让孟买的100名女性在局部麻醉和全身麻醉之间做出选择（60%选择全身麻醉，40%选择局部麻醉）。使用从1到7的视觉模拟量表，女性在流产就诊期间多次描述她们的疼痛程度。选择局部麻醉的患者在手术期间（局部麻醉组为2.3，全身麻醉组为1.0）和手术后立即（局部麻醉组为1.9，全身麻醉组为1.0）报告的疼痛更强烈。术后三小时，两组女性均未报告有任何疼痛。选择全身麻醉的患者表示无痛（95%）或无焦虑（38%）是其最大优点，而选择局部麻醉的患者则喜欢术后能走动（26%）、避免副作用（26%）以及保持清醒（21%）。尽管两组女性都对各自的麻醉方式感到满意，但选择局部麻醉的患者更有可能向朋友推荐（95%对85%）。鉴于这些优点，我们的研究表明，一些女性愿意接受因用局部麻醉替代全身麻醉而带来的额外疼痛。
