Comparison of the analgesic and sedative effect of the lumbar anesthesia,the paracervical block and the general anesthesia used in the diagnostic hysteroscopy examination
Objective:To compare the analgesic and sedative effect of the lumbar anesthesia,the paracervical block and the general anesthesia used in the diagnostic hysteroscopy examination.Methods:A total of 207 patients who wanted diagnostic hysteroscopy examination were selected and were randomly divided into three methods(69 cases in each group)from March 2022 to March 2024.The patients in group A,group B and group C during diagnostic hysteroscopy examination were given lumbar anesthesia,paracervical anesthesia and general anesthesia,respectively.The rates of pain,nausea and vomiting,and the analgesic and sedative effect of the patients during the diagnostic hysteroscopy ex-amination were analyzed and compared among the three groups.Results:One-way ANOVA variance analysis showed that there were significant differences in the surgical time,the anesthesia time and the recovery time of the patients a-mong the three groups.The operation time of the patients in group A was the shortest,and the anesthesia time and the recovery time of the patients in group B were the shortest(all P＜0.001).During anesthesia,there were significant differences in the values of systolic blood pressure and diastolic blood pressure,and the sedation score of the patients a-mong the three groups(P＜0.001).The VAS scores of the patients in group A during anesthesia and during examina-tion(0.90±0.30 points and 0.38±0.49 points)were significantly lower than those(1.78±1.90 points and 1.59±1.18 points)of the patients in group B(P＜0.001).During the period of recovery,there was no patient with moderate to severe pain in group A,and there was no patient with severe pain in group B.The patients with severe pain in group C accounted to 24.6％,which was the most(all P＜0.001).There were no significant differences in the rates of nausea and vomiting,and dizziness of the patients among three groups(P＞0.05).During the recovery period,there were 29.0％patients with severe sedative,and the proportion(50.7％)of the patients needed sedative in group C was signif-icantly higher than that of the patients in the other two groups(P＜0.001).Conclusion:During the anesthesia and ex-amination of the diagnostic hysteroscopy,the pain degree of the patients with the paracervical block is greater than that of the patients with the lumbar anesthesia.During the recovery process,the pain degree of the patients with the general anesthesia is greater than that of the patients with the lumbar anesthesia or the paracervical block.The difference of the nausea and vomiting reactions of the patients with the lumbar anesthesia,the paracervical block and the general anes-thesia is not significant.During anesthesia,the average level of sedation of the patients with the lumbar anesthesia or with the cervical parablock is lower than that during the examination period.The average level of sedation of the pa-tients with the general anesthesia during the recovery period is the higher level,with the highest demand for the seda-tion.
HysteroscopyLumbar anesthesiaParacervical blockGeneral anesthesiaPainNausea and vomitingAnalgesic effect
万方数据
维普
