Intrauterine anesthesia for gynecologic procedures: a systematic review.
Intrauterine anesthesia for gynecologic procedures: a systematic review.
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妇科手术宫内麻醉：系统评价。
DOI：
10.1097/aog.0b013e3182639ab5
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发表时间：
2012
影响因子：
7.2
通讯作者：
Zerden,MatthewL
中科院分区：
文献类型：
--
作者：
Mercier,RebeccaJ;Zerden,MatthewL
目的：评价宫内局部麻醉在妇科门诊手术中减轻疼痛的有效性。数据来源：计算机检索PubMed或MEDLINE、Embase、Google Scholar和临床试验数据库。GOV和手工搜索的参考文献列表，来自评估妇科办公室程序的疼痛控制方法的综述。我们确定了在妇科手术中使用宫内局部麻醉剂的随机对照试验。方法：筛选1236篇文章的标题和摘要。我们确定了45篇可能纳入的文章。我们排除了这些研究中的22项，因为：1)它们不是随机对照试验；2)它们没有描述研究中使用的可量化的药物剂量；3)它们没有研究宫内麻醉剂；4)它们没有研究潜在的清醒的门诊手术；以及5)它们没有清楚地报告结果或代表重复发表。23篇文章最终被纳入审查。
OBJECTIVE:To assess the effectiveness of intrauterine local anesthesia in reducing pain associated with outpatient gynecologic procedures.DATA SOURCES:We searched online databases PubMed or MEDLINE, Embase, Google Scholar, and Clinicaltrials. gov and hand-searched reference lists from reviews evaluating pain-control methods for gynecologic office procedures. We identified randomized controlled trials using intrauterine local anesthetic in gynecologic procedures.METHODS:Titles and abstracts were screened for 1,236 articles. We identified 45 potential articles for inclusion. We excluded 22 of these studies because: 1) they were not randomized controlled trials; 2) they did not describe a quantifiable dose of medication used in the study; 3) they did not investigate an intrauterine anesthetic; 4) they did not study a potentially awake, outpatient procedure; and 5) they did not clearly report results or represented duplicate publication. Twenty-three articles were ultimately included for review.