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Comparison of Lidocaine Spray in Conjunction with Intrauterine Lidocaine versus Paracervical Block for Pain Relief in Fractional and Curettage: A randomized controlled trial |
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| รหัสดีโอไอ | |
| Creator | Pinya Aupongkaroon |
| Title | Comparison of Lidocaine Spray in Conjunction with Intrauterine Lidocaine versus Paracervical Block for Pain Relief in Fractional and Curettage: A randomized controlled trial |
| Contributor | Chinnawat Srinil, Maleechat Sripipattanakul, Thumwadee Tangsiriwatthana |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2562 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 27 |
| Journal No. | 4 |
| Page no. | 180-186 |
| Keyword | fractional curettage, lidocaine spray, intrauterine lidocaine, paracervical block, pain score, visual analog scale |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Objectives: To compare lidocaine spray plus intrauterine lidocaine versus paracervical block alone for pain relief during and at 30 minutes after fractional curettage.Materials and Methods: One hundred and twelve women with abnormal uterine bleeding at Khon Kaen Hospital from January to April, 2018 were randomly allocated into two groups, receiving lidocaine spray in conjunction with intrauterine lidocaine (n = 56) versus paracervical block (n = 56) before fractional curettage. Pain score during fractional curettage was measured by 100-mm visual analogue scale (VAS). Pain score after procedure and all adverse events were observed and recorded at 30 minutes after procedure by other doctors who did not perform fractional curettage. Moreover, additional analgesia or sedation, and inadequacy of specimen were also recorded.Results: Baseline characteristics were similar between groups. Median pain score during procedure in lidocaine spray in conjunction with intrauterine lidocaine group was significantly lower than paracervical block group (71.5 (53.5-82.5) vs 50.5 (39-63), 95% Confidence interval12.70-28.25, p < 0.001). There were no significant differences in pain score after procedure, adverse events, additional analgesia or sedation and inadequacy of specimen.Conclusion: Lidocaine spray in conjunction with intrauterine lidocaine had significant difference for pain reduction when compared with paracervical block during fractional curettage without serious adverse events. |
