Fiddes T M, Williams H W, Herbison G P
Department of Obstetrics and Gynaecology, University of Otago, Dunedin, New Zealand.
Br J Obstet Gynaecol. 1996 Nov;103(11):1143-7. doi: 10.1111/j.1471-0528.1996.tb09598.x.
To evaluate the efficacy of injecting 1% lignocaine into the subserosal aspect of the cornual end of the fallopian tubes to control post-operative pain after laparoscopic Filshie clip application.
A double blind, randomised controlled trial.
The day surgery unit of the Dunedin Public Hospital, Otago, New Zealand.
Fifty-nine women attending the public hospital requesting sterilisation.
The experimental group received an infiltration of 1% lignocaine into the subserosal aspect of the cornual end of the fallopian tubes. The control group received an infiltration of normal saline in the same site.
The use of post-operative pethidine and the scores obtained on a modification of the McGill present pain intensity score, a visual analogue scale of present pain, a pain relief score and comparisons of time to first analgesia use.
The use of pethidine in the experimental group was significantly reduced [P = 0.001] Pain relief scores indicated significant benefit from the intervention. The time to first analgesic use was significantly greater in the experimental group.
Lignocaine infiltration at the cornual end of the fallopian tubes during laparoscopic Filshie clip application is highly effective in producing post-operative pain relief.
评估在输卵管子宫角端浆膜下注射1%利多卡因以控制腹腔镜应用Filshie夹术后疼痛的疗效。
双盲随机对照试验。
新西兰奥塔哥达尼丁公立医院日间手术部。
59名到公立医院要求绝育的女性。
试验组在输卵管子宫角端浆膜下注射1%利多卡因浸润。对照组在相同部位注射生理盐水浸润。
术后哌替啶的使用情况、对麦吉尔疼痛现状强度评分进行修改后得到的评分、当前疼痛视觉模拟量表评分、疼痛缓解评分以及首次使用镇痛剂时间的比较。
试验组哌替啶的使用显著减少[P = 0.001]。疼痛缓解评分表明该干预措施有显著益处。试验组首次使用镇痛剂的时间显著更长。
腹腔镜应用Filshie夹时在输卵管子宫角端进行利多卡因浸润对减轻术后疼痛非常有效。
