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超声导向全针通道麻醉在跨腺前列腺活检中的临床价值:一项观察性研究
DianYuan Lu1, JunYu Zhou, JianRong Cai
1Department of Ultrasound, Chongming Hospital Affiliated to Shanghai University of Medicine and Health Sciences, Shanghai, China.
Medicine
|July 19, 2024
概括
与标准方法相比,超声导向全针通道麻醉在跨关节前列腺活检期间显著减少疼痛和不适. 这种技术为患者的舒适性和程序体验提供了宝贵的改进.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 麻醉学 麻醉学
- 医疗成像医学成像
背景情况:
- 甲经前列腺活检与显著的疼痛有关.
- 有效的疼痛管理对于患者的耐受性和程序的成功至关重要.
- 目前的麻醉技术可能无法完全解决与活检相关的不适.
研究的目的:
- 评估超声导向全针路麻醉的临床疗效.
- 为了比较两种麻醉方法之间的疼痛水平和活检后症状.
- 为了确定这种先进的麻醉技术在跨关节前列腺活检中的价值.
主要方法:
- 一项随机对照试验,涉及200名接受跨关节前列腺活检的患者.
- 患者被分配到常规局部透麻醉 (对照) 或超声导向全针路麻醉 (实验) 中.
- 使用视觉模拟尺度评估疼痛;通过随访监测活检后的症状 (血液流失,排尿不适).
主要成果:
- 与对照组相比,实验组报告了明显较低的视觉模拟尺度疼痛评分 (2.55 ± 0.88) (4.32 ± 0.94) (P < .01).
- 接受超声导向麻醉的患者经历了尿动不适的较短时间 (1.86 ± 0.67天) 与对照组 (2.3 ± 0.77天) 相比 (P < .01).
- 两组之间没有观察到年龄,PSA水平,前列腺体积或出血症持续时间的显著差异.
结论:
- 超声导向全针通道麻醉有效缓解跨关节前列腺活检期间的疼痛.
- 这种方法显著减少了活检后的排尿不适.
- 该技术在改善前列腺活检期间的患者体验方面具有很高的临床价值.
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