Jain Shikha, Inamdar Dattaprasad B, Majumdar Abha, Jain Deepak K
Centre of IVF and Human Reproduction, Sir Ganga Ram Hospital, New Delhi, India.
Senior Resident, Department of Surgical Oncology, TATA Memorial Hospital, Mumbai, Maharashtra, India.
J Hum Reprod Sci. 2016 Oct-Dec;9(4):230-235. doi: 10.4103/0974-1208.197643.
To evaluate the potential benefit, in terms of pain relief, of the paracervical block with 2% lignocaine in women undergoing hysterosalpingography (HSG).
This study was a prospective randomized controlled study.
This study was conducted in infertility clinic of a tertiary care center.
Four hundred and six patients undergoing HSG as a part of infertility evaluation were included in the study. These women were randomized into two groups: Group I received paracervical block with 2% lignocaine at the time of HSG ( = 53) and Group II ( = 53) served as control. Hyoscine (10 mg) oral tablet was given to all the patients 30 min before the procedure. Pain perception during the procedure was analyzed by the patient between 0 and 10 on a numeric rating scale, immediately after HSG.
The baseline demographic characteristics of participants in two groups were similar. Mean pain score immediately after HSG in the study group and control group was 4.84 ± 2.56 and 5.21 ± 1.89, respectively ( = 0.21).
There is no benefit of paracervical block with 2% lignocaine, in terms of pain relief, in women undergoing HSG.
评估在子宫输卵管造影术（HSG）中使用2%利多卡因宫颈旁阻滞在缓解疼痛方面的潜在益处。
本研究为前瞻性随机对照研究。
本研究在一家三级医疗中心的不孕不育诊所进行。
406名接受HSG作为不孕不育评估一部分的患者纳入研究。这些女性被随机分为两组：第一组在HSG时接受2%利多卡因宫颈旁阻滞（n = 203），第二组（n = 203）作为对照组。所有患者在操作前30分钟口服10毫克东莨菪碱片剂。操作过程中的疼痛感知由患者在HSG后立即用数字评分量表从0到10进行分析。
两组参与者的基线人口统计学特征相似。研究组和对照组在HSG后立即的平均疼痛评分分别为4.84±2.56和5.21±1.89（P = 0.21）。
在接受HSG的女性中，使用2%利多卡因宫颈旁阻滞在缓解疼痛方面没有益处。
