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Original Article | Open Access

Clinical study of analgesia in brachytherapy for cervical cancer

Mei Liu1Hai-Yan Wu1Jian Li2Meng-Yu Ou3Shu-Fang Sun4Ying Tang5Xiu-Juan Zhao5 ( )
Department of Radiation Oncology Center, Chongqing University Cancer Hospital, Chongqing, China
Department of Ultrasound Medicine, Chongqing Shaping District People’s Hospital, Chongqing, China
Department of Publicity and Education, Chongqing University Cancer Hospital, Chongqing, China
Department of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, China
Department of Gynecological Cancer Center, Chongqing University Cancer Hospital, Chongqing, China
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Abstract

Objective

This study investigated the analgesic effects in patients with cervical cancer during brachytherapy.

Methods

In this prospective study, 100 patients with cervical cancer who were admitted to Chongqing University Cancer Hospital between July 2021 and April 2022 were randomly divided into an analgesia group (n = 50) and a control group (n = 50). The visual analog scale (VAS) scores at applicator placement-T1, CT-scan-T2, and removal -T3, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores before brachytherapy, short-term clinical efficacy, and patient satisfaction were compared between the two groups.

Results

The VAS score of the analgesia group was significantly different at T1 (0 vs. 4.34±1.02, t = 67.40, p < 0.001), but not in the control group; however, there was no significant difference between the two groups at T2 (t = -0.49, p = 0.623) and T3 (t = -0.12, p = 0.912). The SAS and SDS scores first decreased and then increased in the analgesic group and increased in the control group with increasing brachytherapy time. Except for the first measurement, the differences between the two groups were statistically significant (all p < 0.001). The application of interstitial implantation (p = 0.027), local efficacy (p = 0.047), and patient satisfaction rates (p = 0.025) were higher in the analgesic group than in the control group.

Conclusion

Analgesia can relieve pain, maintain physical and mental health, and improve outcomes and patient satisfaction rates for cervical cancer.

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Precision Radiation Oncology
Pages 137-141
Cite this article:
Liu M, Wu H-Y, Li J, et al. Clinical study of analgesia in brachytherapy for cervical cancer. Precision Radiation Oncology, 2023, 7(2): 137-141. https://doi.org/10.1002/pro6.1194

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Received: 04 April 2023
Revised: 06 May 2023
Accepted: 15 May 2023
Published: 01 June 2023
© 2023 The Authors.

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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