Evaluation of the effect of 10% lidocaine spray on reducing the pain of intrauterine device insertion: A randomised controlled trial

IF 0.4 Q4 OBSTETRICS & GYNECOLOGY
M. Hajiesmaello, E. Mohammadi, H. Farrokh-Eslamlou
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引用次数: 0

Abstract

Background. The intrauterine device (IUD) is among the most efficient contraceptive methods. However, IUD insertion is accompanied by pain and discomfort.  Objectives. To evaluate the analgesic effects of 10% lidocaine spray in reducing pain during IUD insertion.  Method. In a randomised clinical trial, 80 volunteers attending two clinics for IUD insertion were selected for study, and randomly allocated to two groups. The intervention group received four puffs of 10% lidocaine spray on their cervix prior to IUD insertion. The routine procedure (without an analgesic) was followed in the control group. The intensity of perceived pain in both groups was measured using a visual analogue scale from 0 to 10.  Results. The two groups had significant differences in pain intensity at all stages of the procedure ( p <0.001). The most painful stage of the procedure was tenaculum placement (mean (standard deviation) pain intensity 2.2 (1.34) in the intervention group; 4.25 (1.92) in the control group).  Conclusion. Based on our findings, 10% lidocaine spray can be applied as a non-invasive, inexpensive, easy-to-use and accessible method to decrease IUD insertion pain.
10%利多卡因喷雾剂减轻宫内节育器插入疼痛的效果评价:一项随机对照试验
背景宫内节育器是最有效的避孕方法之一。然而,宫内节育器的插入伴随着疼痛和不适。目标。评价10%利多卡因喷雾剂减轻宫内节育器置入过程中疼痛的镇痛效果。方法。在一项随机临床试验中,80名志愿者被选入两个诊所进行宫内节育器插入研究,并被随机分配到两组。在插入宫内节育器之前,干预组在其宫颈上接受了四次10%利多卡因喷雾。对照组采用常规程序(无镇痛药)。使用0至10的视觉模拟量表测量两组患者的感知疼痛强度。两组在手术的各个阶段的疼痛强度都有显著差异(p<0.001)。手术最疼痛的阶段是肌腱放置(干预组的平均(标准差)疼痛强度为2.2(1.34);对照组为4.25(1.92)。结论。根据我们的研究结果,10%利多卡因喷雾剂可以作为一种非侵入性、廉价、易于使用和可获得的方法来减少宫内节育器插入疼痛。
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来源期刊
South African Journal of Obstetrics and Gynaecology
South African Journal of Obstetrics and Gynaecology Medicine-Obstetrics and Gynecology
CiteScore
0.40
自引率
0.00%
发文量
5
审稿时长
15 weeks
期刊介绍: The SAJOG is a tri-annual, general specialist obstetrics and gynaecology journal that publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. The journal carries original research articles, editorials, clinical practice, personal opinion, South Africa health-related news, obituaries and general correspondence.
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