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首页> 外文期刊>Acta Obstetricia et Gynecologica Scandinavica: Official Publication of the Nordisk Forening for Obstetrik och Gynekologi >Lidocaine-prilocaine (EMLA?) cream as analgesia in hysteroscopy practice: A prospective, randomized, non-blinded, controlled study
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Lidocaine-prilocaine (EMLA?) cream as analgesia in hysteroscopy practice: A prospective, randomized, non-blinded, controlled study

机译：宫腔镜手术中利多卡因-普洛卡因（EMLA？）乳膏镇痛：一项前瞻性，随机，无盲，对照研究

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摘要

We investigated the efficacy of 5% lidocaine 25 mg-prilocaine 25 mg/g cream (EMLA?) applied to the uterine cervix for reducing pain during diagnostic or operative hysteroscopy, using a visual analogue scale (VAS) for pain in a prospective randomized, non-blinded, controlled study in 92 successive patients. Patients were randomized to either 3 mL of EMLA cream or 3 mL of ultrasound gel (placebo), placed endocervically and exocervically, 10 min before hysteroscopy. Intensity of pain was evaluated immediately after the procedure using a 10-cm VAS. No differences were found between the two groups (p = 0.07). The number of women who wished to stop the procedure was significantly lower in the EMLA group compared with the control group (p = 0.013). We concluded that topical instillation of EMLA does not decrease pain during hysteroscopy, but does reduce a desire to abandon the procedure.
机译：我们采用视觉模拟量表（VAS）对前瞻性随机对照研究了在疼痛或诊断性宫腔镜检查中应用5％利多卡因25 mg-普罗卡因25 mg / g乳膏（EMLA？）减轻子宫宫颈在诊断或手术宫腔镜检查中的疼痛的功效， 92位连续患者的非盲对照研究。在宫腔镜检查前10分钟，将患者随机分为3 mL EMLA乳膏或3 mL超声凝胶（安慰剂），分别进行宫颈内和宫颈外置入。手术后立即使用10厘米VAS评估疼痛强度。两组之间未发现差异（p = 0.07）。与对照组相比，EMLA组中希望停止手术的妇女人数明显减少（p = 0.013）。我们得出的结论是，EMLA的局部滴注并不能减轻宫腔镜检查过程中的疼痛，但是可以减少放弃手术的愿望。

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