口服海俄辛 vs. 局部EMLA vs. 安慰剂用于减少子宫输卵管造影术期间的疼痛
2026年6月9日 更新者：Ahmed Samy aly ashour、Cairo University
口服丁溴东莨菪碱与局部EMLA喷雾剂在减轻子宫输卵管造影术中疼痛的安全性和有效性：一项随机双盲安慰剂对照试验
这项随机、双盲、安慰剂对照研究将评估口服丁溴东莨菪碱或外用共晶利多卡因-丙胺卡因（EMLA）喷雾剂相比安慰剂，是否能在子宫输卵管造影（HSG）期间减轻疼痛。
研究概览
地位
完全的
条件
详细说明
这项随机、双盲、安慰剂对照、三臂临床试验将评估口服丁溴东莨菪碱或外用利多卡因-丙胺卡因（EMLA）喷雾剂相比安慰剂是否能在子宫输卵管造影（HSG）期间减轻疼痛
研究类型
介入性
注册 (实际的)
102
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
-
Giza、埃及
- Algezeera Hospital
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
不
描述
纳入标准：
- 因不孕评估接受HSG检查的女性
月经周期规律；手术安排在增殖期（第6-12天）
手术当天尿妊娠试验阴性
排除标准：
- 已知对东莨菪碱、利多卡因、丙胺卡因过敏
HSG检查前24小时内使用全身性镇痛药、镇静剂或解痉药
慢性盆腔痛或需定期服用镇痛药的严重痛经
活动性盆腔感染、子宫畸形、需麻醉的宫颈狭窄
造影剂过敏史
无法配合VAS评分报告
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：四人间
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Oral Hyoscine butylbromide and Placebo Spray
Participants received a single 20 mg oral tablet of hyoscine butylbromide 30 minutes before hysterosalpingography, together with placebo cervical spray applied 10 minutes before the procedure.
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Hyoscine butylbromide 20 mg oral tablet, single dose, administered 30 minutes before HSG, plus placebo cervical spray applied to the ectocervix and external cervical os 10 minutes before HSG.
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有源比较器：Topical lidocaine-prilocaine spray and placebo oral tablet
Participants received topical lidocaine-prilocaine spray applied as three sprays to the ectocervix and external cervical os 10 minutes before hysterosalpingography, together with a placebo oral tablet given 30 minutes before the procedure.
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Topical lidocaine-prilocaine spray, Manovipercaine Plus, EVA Pharma, Egypt, containing lidocaine 15% and prilocaine 5%, applied as three sprays to the ectocervix and external cervical os 10 minutes before HSG, plus placebo oral tablet administered 30 minutes before HSG.
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安慰剂比较：Double Placebo
Participants received a placebo oral tablet 30 minutes before HSG and placebo cervical spray applied to the ectocervix and external cervical os 10 minutes before the procedure.
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Placebo oral tablet administered 30 minutes before HSG plus placebo cervical spray applied 10 minutes before HSG, at the same time points as the active interventions.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Pain during cervical instrumentation
大体时间：Within 1 minute after tenaculum placement and cervical cannulation, before contrast injection.
|
Pain intensity during cervical instrumentation, including tenaculum placement and cervical cannulation, measured using an 11-point numerical rating scale from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable
|
Within 1 minute after tenaculum placement and cervical cannulation, before contrast injection.
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Pain after speculum insertion before cervical instrumentation
大体时间：Intra-procedure, immediately after speculum insertion and before cervical instrumentation.
|
Pain intensity will be assessed immediately after speculum insertion and before tenaculum placement or cervical cannulation using the 11-point Numerical Rating Scale for Pain, ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.
Higher scores indicate worse pain intensity.
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Intra-procedure, immediately after speculum insertion and before cervical instrumentation.
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Pain 30 minutes after HSG
大体时间：30 minutes post-procedure
|
Pain intensity will be assessed 30 minutes after completion of hysterosalpingography using the 11-point Numerical Rating Scale for Pain, ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.
Higher scores indicate worse pain intensity.
|
30 minutes post-procedure
|
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Patient satisfaction 30 minutes after HSG
大体时间：30 minutes postprocedure
|
Patient satisfaction with the procedure, measured using a 0-10 satisfaction scale, where 0 indicates no satisfaction and 10 indicates maximum satisfaction.
|
30 minutes postprocedure
|
|
Pain during uterine filling
大体时间：During HSG, at the end of uterine filling / immediately after contrast injection.
|
Pain intensity during or immediately after contrast injection at the end of uterine filling, measured using an 11-point numerical rating scale from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable.
|
During HSG, at the end of uterine filling / immediately after contrast injection.
|
|
Post-procedure rescue analgesia
大体时间：After the 30-minute post-procedure pain assessment.
|
Number and percentage of participants requiring rescue analgesia after completion of the 30-minute post-procedure pain assessment.
Rescue analgesia consisted of oral paracetamol 1,000 mg.
|
After the 30-minute post-procedure pain assessment.
|
|
Adverse events related to study medications or hysterosalpingography
大体时间：Periprocedural: during hysterosalpingography and up to 30 minutes after completion of the procedure.
|
Adverse events will be reported as the number and percentage of participants experiencing any adverse event potentially related to the study medications or the hysterosalpingography procedure.
Events assessed will include dry mouth, nausea, dizziness, blurred vision, tachycardia, vasovagal reaction, allergic symptoms, local irritation or burning, and any other unexpected adverse event.
|
Periprocedural: during hysterosalpingography and up to 30 minutes after completion of the procedure.
|
|
Serious adverse events related to study medications or hysterosalpingography
大体时间：Periprocedural: during hysterosalpingography and up to 30 minutes after completion of the procedure.
|
Serious adverse events will be reported as the number and percentage of participants experiencing any serious adverse event during or after hysterosalpingography, including events requiring urgent medical intervention, hospital referral, or prolonged medical observation.
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Periprocedural: during hysterosalpingography and up to 30 minutes after completion of the procedure.
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2025年10月3日
初级完成 (实际的)
2026年4月1日
研究完成 (实际的)
2026年4月30日
研究注册日期
首次提交
2025年9月21日
首先提交符合 QC 标准的
2026年2月1日
首次发布 (实际的)
2026年2月3日
研究记录更新
最后更新发布 (实际的)
2026年6月11日
上次提交的符合 QC 标准的更新
2026年6月9日
最后验证
2026年6月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.