Pereira Keith, Morel-Ovalle Louis Maurice, Wiemken Timothy L, Kazmi Sakina, Rode Siddharth, Hardy Anna, Vaheesan Kirubahara
Department of Vascular and Interventional Radiology, Saint Louis University, 3635 Vista Ave., St. Louis, MO, 63110.
Department of Vascular and Interventional Radiology, Saint Louis University, 3635 Vista Ave., St. Louis, MO, 63110.
J Vasc Interv Radiol. 2020 Mar;31(3):388-392. doi: 10.1016/j.jvir.2019.08.017. Epub 2020 Jan 23.
In a single-arm, nonrandomized, retrospective case-control study, 39 patients (mean age, 44 y) who underwent elective outpatient uterine artery embolization with the use of superior hypogastric nerve block (SNHB) for pain control over a period of 3 years were identified. Technical success of SNHB was 87%. Of the 34 patients who received SNHB, 97% did not need a patient-controlled analgesia pump. The median opioid requirement for the 17 patients who needed opioid agents was 7.5 morphine milligram equivalents (interquartile range [IQR], 10). The median length of stay was 2.2 hours (IQR, 1.7 h). SHNB offers a safe and effective intervention that significantly reduces pain and the need for opiate agents and allows same-day discharge after uterine artery embolization.
在一项单臂、非随机、回顾性病例对照研究中，确定了39例患者（平均年龄44岁），他们在3年期间接受了选择性门诊子宫动脉栓塞术，并使用上腹下神经阻滞（SNHB）来控制疼痛。SNHB的技术成功率为87%。在接受SNHB的34例患者中，97%不需要患者自控镇痛泵。17例需要使用阿片类药物的患者的阿片类药物需求量中位数为7.5吗啡毫克当量（四分位间距[IQR]为10）。住院时间中位数为2.2小时（IQR为1.7小时）。上腹下神经阻滞提供了一种安全有效的干预措施，可显著减轻疼痛并减少对阿片类药物的需求，并允许子宫动脉栓塞术后当天出院。
