风险因素和当代管理选择对于在前列腺活检期间经历的疼痛和不适
Gabriela M Diaz1, Lindsey T Webb1, Maximilian J Rabil1
1Department of Urology, Yale School of Medicine, New Haven, CT, USA.
在前列腺活检期间的疼痛可以管理. 年龄和以前经历等因素会影响疼痛,但药物治疗,虚拟现实和分心等策略可以显著改善患者的舒适度和对随访护理的坚持.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
背景情况:
- 前列腺融合活检是前列腺癌的关键诊断工具.
- 活检期间患者的不适和痛苦可能导致治疗不良.
- 了解疼痛因素和管理对于改善患者体验至关重要.
研究的目的:
- 审查与前列腺活检期间疼痛增加相关的危险因素.
- 探索前列腺活检程序的现代疼痛管理策略.
- 引导临床医生提高患者舒适度,促进随访遵守.
主要方法:
- 对前列腺活检疼痛的现有文献进行系统审查.
- 分析导致疼痛强度的因素.
- 关于有效的疼痛缓解技术的数据的整合.
主要成果:
- 前列腺活检期间的疼痛感知是多因素的,受患者年龄,前列腺体积和先前活检史的影响.
- 药物止痛药,患者支持 (例如,握手),身体舒适措施 (加热) 和分心技术 (虚拟现实,娱乐) 在缓解疼痛方面显示出显著的有效性.
- 在办公室前列腺活检过程中,各种策略有效地减少疼痛.
结论:
- 临床医生可以识别患有疼痛风险较高的患者.
- 实施各种疼痛管理策略可以显著提高患者的舒适度.
- 改善患者舒适性预计将增加对监测和治疗方案的遵守.
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