Bogani Giorgio, Serati Maurizio, Cromi Antonella, Di Naro Edoardo, Casarin Jvan, Pinelli Ciro, Rossi Thomas, Ghezzi Fabio
Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy.
Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy.
Eur J Obstet Gynecol Reprod Biol. 2014 Oct;181:15-9. doi: 10.1016/j.ejogrb.2014.07.022. Epub 2014 Jul 30.
To evaluate whether the administration of local anesthetic (LA) reduces pain in comparison with forced coughing (FC) for the execution of colposcopically guided biopsies (CGBs).
Data of 100 consecutive patients undergoing CGBs with the use of LA or FC were prospectively evaluated. Procedure-related pain was assessed with the use of a 100-mm visual analogue scale.
Fifty-one and 49 patients had CGBs using LA and FC, respectively. No between-group differences were observed in terms of pain related to speculum insertion, CGBs and pain recorded after the procedures (p>0.05). However, patients in the LA group experienced pain related to cervical injection for administration of anesthesia (mean (±SD): 12.4 (±1.6)). Operative time was longer in the LA than in the FC group (7.2 (±0.2) vs. 5.0 (±0.1)min; p<0.001).
FC should be preferred over LA. Although CGB-related pain levels do not differ, the omission of intracervical injection is associated with undoubted advantages.
评估在进行阴道镜引导下活检（CGB）时，与强制咳嗽（FC）相比，局部麻醉（LA）的使用是否能减轻疼痛。
前瞻性评估了100例连续接受使用LA或FC进行CGB的患者的数据。使用100毫米视觉模拟量表评估与手术相关的疼痛。
分别有51例和49例患者使用LA和FC进行CGB。在与窥器插入、CGB相关的疼痛以及手术后记录的疼痛方面，未观察到组间差异（p>0.05）。然而，LA组的患者经历了与麻醉宫颈注射相关的疼痛（平均值（±标准差）：12.4（±1.6））。LA组的手术时间比FC组长（7.2（±0.2）对5.0（±0.1）分钟；p<0.001）。
与LA相比，应优先选择FC。虽然与CGB相关的疼痛程度没有差异，但省略宫颈内注射具有明显优势。
