男性门诊柔性膀胱镜检查：一项关于患者耐受性的随机研究。

Outpatient flexible cystoscopy in men: a randomized study of patient tolerance.

作者信息

Herr H W, Schneider M

机构信息

Department of Urology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.

出版信息

J Urol. 2001 Jun;165(6 Pt 1):1971-2.

PMID:11371893

Abstract

PURPOSE

We evaluate the pain of immediate versus delayed outpatient flexible cystoscopy in men after topical local anesthesia application.

MATERIALS AND METHODS

A total of 100 consecutive men with superficial bladder tumors were randomized to immediate or delayed surveillance flexible cystoscopy after intraurethral instillation of lidocaine gel. Patients recorded the level of pain experienced during cystoscopy on a 4-point pain scale and on a 10-point visual linear analog self-assessment scale.

RESULTS

Of the 100 patients 50 underwent immediate and 50 underwent delayed cystoscopy. The mean pain score on a scale of 1-no to 4-severe pain was 1.7 after immediate cystoscopy compared with 1.6 after delayed cystoscopy (p = 0.9). The mean linear analog self-assessment score on a scale of 1-no to 10-most pain was 2.1 after immediate cystoscopy versus 1.8 after delayed cystoscopy (p = 0.7).

CONCLUSIONS

There was no difference in pain perception in men undergoing immediate or delayed outpatient flexible cystoscopy using the same local anesthetic.

摘要

目的

我们评估在男性患者局部应用表面麻醉后，立即进行与延迟进行门诊软性膀胱镜检查时的疼痛情况。

材料与方法

总共100例患有浅表膀胱肿瘤的男性患者，在尿道内注入利多卡因凝胶后，被随机分为立即或延迟进行监测性软性膀胱镜检查两组。患者在4分疼痛量表和10分视觉线性模拟自我评估量表上记录膀胱镜检查期间所经历的疼痛程度。

结果

100例患者中，50例接受了立即膀胱镜检查，50例接受了延迟膀胱镜检查。在1分（无疼痛）至4分（剧痛）的量表上，立即膀胱镜检查后的平均疼痛评分为1.7分，而延迟膀胱镜检查后为1.6分（p = 0.9）。在1分（无疼痛）至10分（最痛）的量表上，立即膀胱镜检查后的平均线性模拟自我评估评分为2.1分，延迟膀胱镜检查后为1.8分（p = 0.7）。