Atashkhoii S, Negargar S, Tagavi S. ASSESSMENT OF THE EFFICACY OF PARA CERVICAL BLOCK IN CONJUNCTION WITH CONSCIOUS SEDATION ON PAIN CONTROL DURING OUTPATIENT HYSTEROSCOPY. Med J Islam Repub Iran 2006; 19 (4) :281-285
URL:
http://mjiri.iums.ac.ir/article-1-538-en.html
Department of Anesthesiology, Alzahra Hospital, Tabriz University of Medical Sciences, , siminatashkhoii@yahoo.com
Abstract: (5262 Views)
Background and Objective: Hysteroscopy is considered as very important in
the investigation of abnormal uterine bleeding. It is usually performed as an outpatient
procedure under either local or no anesthesia. This study was designed to compare the
combination of paracervical block (PCB) and conscious sedation with paracervical
block or conscious sedation alone for outpatient hysteroscopy in terms of pain control
and patient satisfaction.
Methods: A total of 60 women with abnormal uterine bleeding were considered
eligible for the study. Patients were randomized into three groups. Group A (20 patients)
underwent diagnostic hysteroscopy with conscious sedation, in group B (20
patients) paracervical block was performed, and group C (20 patients) received both
conscious sedation and paracervical block. Main outcome measures were pain control
during the procedure, the postoperative pain score at 15 min, 60 min, and 24 h after the
procedure, and patient's satisfaction rate.
Results: There were significant differences between combination therapy with
other groups in terms of pain control during the procedure (paracervical block plus
sedation versus the other two groups: p