Aksoy Hüseyin, Aksoy Ülkü, Ozyurt Sezin, Açmaz Gökhan, Babayigit Mustafa
Medical Doctor, Department of Obstetrics and Gynecology, Kayseri Military Hospital, Kayseri, Turkey.
Medical Doctor, Department of Obstetrics and Gynecology, Kayseri Education and Research Hospital, Kayseri, Turkey.
J Fam Plann Reprod Health Care. 2016 Apr;42(2):83-7. doi: 10.1136/jfprhc-2014-100917. Epub 2015 Mar 10.
Fear of pain during intrauterine device (IUD) insertion can be a barrier to widespread use of this safe and highly effective contraceptive method. Our objective was to determine the effectiveness of topical 10% lidocaine spray for pain control during IUD insertion.
A total of 200 subjects with the request for IUD insertion were included in the study. The patients were randomly divided into two groups: lidocaine spray (n=100) and placebo (n=100). The pain experienced during the procedure was measured immediately after insertion by a standard Visual Analogue Scale (VAS) administered by a separate researcher with maintenance of allocation concealment.
The mean pain score during the procedure was 1.01±1.20 in the lidocaine spray group and 3.23±1.60 in the placebo spray group (p<0.001). Lidocaine spray treatment significantly lowered the overall procedural pain score compared with placebo.
Significant pain reduction during IUD insertion can be achieved by using 10% lidocaine spray alone. Lidocaine spray can be accepted as a non-invasive, easy to apply and more comfortable local anaesthetic method for IUD insertion.
NCT02020551.
对宫内节育器（IUD）插入过程中疼痛的恐惧可能会阻碍这种安全且高效的避孕方法的广泛使用。我们的目的是确定局部使用10%利多卡因喷雾剂在IUD插入过程中控制疼痛的有效性。
共有200名要求插入IUD的受试者纳入本研究。患者被随机分为两组：利多卡因喷雾剂组（n = 100）和安慰剂组（n = 100）。插入后，由另一名研究人员使用标准视觉模拟量表（VAS）立即测量手术过程中经历的疼痛，并保持分配隐藏。
利多卡因喷雾剂组手术过程中的平均疼痛评分为1.01±1.20，安慰剂喷雾剂组为3.23±1.60（p<0.0０1）。与安慰剂相比，利多卡因喷雾剂治疗显著降低了总体手术疼痛评分。
单独使用１０％利多卡因喷雾剂可显著减轻IUD插入过程中的疼痛。利多卡因喷雾剂可被视为一种用于IUD插入的非侵入性、易于应用且更舒适的局部麻醉方法。
NCT02020551。
