关键词: Hysterosalpingography (HSG) Meta-analysis Severe pain Visual analog scale

来  源:   DOI:10.18502/ijph.v53i2.14912   PDF(Pubmed)

Abstract:
UNASSIGNED: We aimed to evaluate the impact of pain on patients during Hysterosalpingography (HSG).
UNASSIGNED: PubMed, PMC and other journals were searched for randomized controlled trials (RCTS) on HSG. Appropriate articles were selected for inclusion and reasonable exclusion according to keywords. Following a thorough review of the relevant literature, the process of literature screening was conducted in accordance with the aforementioned criteria. The methodological quality of the studies was assessed using the risk of bias assessment tool developed by the Cochrane Collaboration. Meta-analysis was conducted using RevMan 5.4.1 software.
UNASSIGNED: Twelve studies were included, including 1530 cases in the experimental group and 1545 cases in the control group. The literature summarizes the basic information of patients during HSG and makes statistics on the differences in visual analog scale (VAS) and pain perception. The findings from the HSG examination revealed a lack of significant association between patients\' pain sensation and their age and BMI. However, the duration of pregnancy in patients decreased following HSG treatment (95%CI (-18.84 to -3.58), P=0.004).Compared with conventional testing, HSG could effectively reduce the pregnancy time of patients (95%CI (-18.84, -3.58), P=0.004), reduce the VAS of patients (95%CI (-4.73, -1.51), P=0.0001), and increase the number of patients without pain (95%CI (1.80, 10.43), P=0.001).
UNASSIGNED: During the HSG examination, acceptable pain avoidance is generated and can be relieved over time. At present, there is no effective alternative method, so the patient should cooperate with the doctor to complete the examination, to relieve the pain.
摘要:
我们旨在评估子宫输卵管造影(HSG)期间疼痛对患者的影响。
PubMed,在PMC和其他期刊上搜索HSG的随机对照试验(RCTS)。根据关键词选择适当的文章进行纳入和合理排除。在对相关文献进行全面回顾之后,按照上述标准进行文献筛选.使用CochraneCollaboration开发的偏倚风险评估工具评估研究的方法学质量。采用RevMan5.4.1软件进行Meta分析。
纳入了12项研究,其中实验组1530例,对照组1545例。文献总结了HSG期间患者的基本信息,并对视觉模拟量表(VAS)和疼痛感知的差异进行了统计。HSG检查结果显示,患者疼痛感觉与年龄和BMI之间缺乏显著关联。然而,HSG治疗后患者的妊娠持续时间减少(95CI(-18.84至-3.58),P=0.004)。与常规测试相比,HSG能有效减少患者的妊娠时间(95CI(-18.84,-3.58),P=0.004),降低患者的VAS(95CI(-4.73,-1.51),P=0.0001),并增加无疼痛的患者人数(95CI(1.80,10.43),P=0.001)。
在HSG检查期间,产生可接受的避免疼痛,并且可以随着时间的推移而缓解。目前,没有有效的替代方法,所以病人应该配合医生完成检查,减轻疼痛。
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