|Table of Contents|

Observation of analgesic efficacy of epidural catheter analgesia pump in interstitial brachytherapy of gynecological tumor

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 06
Page:
1123-1126
Research Field:
Publishing date:

Info

Title:
Observation of analgesic efficacy of epidural catheter analgesia pump in interstitial brachytherapy of gynecological tumor
Author(s):
MA Yiming1; ZHANG Mingchuan1; CHEN Huimin1; WU Hao1; GUO Dapeng2; CHEN Hao2; XIE Guanglun2; CHENG Shuxia1
1.Department of Gynecology；2.Department of Pain Rehabilitation and Palliative Medicine,the Affiliated Cancer Hospital of Zhengzhou University ＆ Henan Cancer Hospital,Henan Zhengzhou 450008,China.
Keywords:
interstitial implantation; brachytherapy; epidural catheter analgesia pump; pain
PACS:
R737.3
DOI:
10.3969/j.issn.1672-4992.2023.06.027
Abstract:
Objective：To investigate the efficacy and safety of epidural catheter analgesia pump applied to interstitial brachytherapy of gynecological tumor.Methods:50 cases of gynecological tumors who underwent interstitial brachytherapy were selected.Among them,25 cases were treated with epidural catheter connected to patient-controlled analgesia pump for analgesia (anesthesia group) and 25 cases were received intramuscular tramadol for pain relief (control group).The pain numerical rating scale (NRS),EORTC QLQ-C30 score,state-trait anxiety inventory (STAI) and IES-R event impact scale were used to quantitatively analyze the patients' feelings.Results:The average NRS score of the anesthesia group was (2.04±1.74) scores,which was significantly lower than that of the control group［(5.44±2.35) scores］(P＜0.05),and the state anxiety inventory (SAI) and trait anxiety inventory (TAI) scores were better than those of the control group (P＜0.05).The EORTC QLQ-C30 scores of physical,emotional,role,social and cognitive function,and overall health status of the anesthesia group were higher than that of the control group,and the scores of pain,shortness of breath,nausea and vomiting,and loss of appetite were lower than those of the control group,and the differences were statistically significant (P＜0.05).The IES-R score of the anesthesia group was lower than that of the control group (P＜0.05).After treatment,the frequency of antiemetic drug use in the control group was significantly higher than that in the anesthesia group (P＜0.05).There were no adverse reactions such as respiratory depression,delirium,urinary retention and delayed discharge in both groups.Conclusion:The application of epidural anesthesia in interstitial brachytherapy of gynecological tumor has a significant analgesic effect,significantly improves the comfort and quality of life of patients during treatment,and has no obvious adverse reactions.

References:

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Memo

Memo:
河南省医学科技攻关项目（编号：LHGJ20200191）
Last Update: 1900-01-01