Clinical application of diclofenac sodium in the treatment of gynecological hysteroscopy
10.3760/cma.j.issn.1008-6706.2018.11.006
- VernacularTitle: 双氯芬酸钠栓计划性纳肛在妇科宫腔镜手术中应用的临床意义
- Author:
Longcai ZHUO
1
;
Qiaohong LIN
;
Yanfang ZHU
;
Jingxuan XU
Author Information
1. Department of Gynecology, the 174th Hospital of PLA (Successful Hospital Affiliated to Xiamen University), Xiamen, Fujian 361003, China
- Publication Type:Journal Article
- Keywords:
Administration, rectal;
Hysteroscopy;
Anesthesia;
Diclofenac sodium suppository
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(11):1380-1383
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical significance of scheduled diclofenac sodium in gynecological hysteroscopic surgery.
Methods:A total of 125 patients undergoing hysteroscopic surgery were divided into observation group(64 cases) and control group(61 cases) according to the operation date.The observation group received diclofenac sodium(50mg) 30min before operation and after operation.The control group was anesthetized with propofol 2mg·kg-1·h-1.The pain at 1h and 2h postoperatively, the incidence of adverse reactions within 12h after operation, the time from operation to bed ambulation, anesthetic cost and comfort of patients were compared between the two groups.
Results:The pain scores of VAS in the observation group at 1h and 2h postoperatively were (3.23±1.75)points and (1.84±1.36)points, respectively, which were significantly lower than those in the control group[(5.07±1.73)points and (2.75±1.60)points, t=-5.875, -3.435, all P<0.05]. The incidence of nausea and vomiting in the observation group within 12h after operation was less than that in the control group(5 cases vs.27 cases)(χ2=12.175, P<0.05). The time spent on ambulation of the observation group[(11.17±2.18)min]was significantly shorter than that of the control group[(17.84±3.42)min](t=-12.933, P<0.05). The anesthetic cost of the observation group was significantly lower than that of the control group (1.24 CNY vs.71.30 CNY, t=18.130, P<0.05).
Conclusion:The diclofenac sodium plan anal preoperative analgesic effect in patients undergoing gynecological hysteroscopic surgery is better, so that out of bed activities ahead of time, can reduce the anesthesia costs, gynecological hysteroscopy can be used as the preferred method of anesthesia.
