与超声导向前列腺活检患者疼痛感相关的因素
Nihat Turkmen1, Kadir Cem Günay1
1University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Urology Department, Istanbul. Turkey.
Colombia medica (Cali, Colombia)
|October 31, 2024
概括
通过直肠超声波 (TRUS) 引导的前列腺活检期间的疼痛可能受到患者因素的影响. 识别这些变量有助于制定策略,尽量减少手术期间的不适.
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:
- 通过直肠超声波 (TRUS) 引导的前列腺活检是前列腺癌的标准诊断程序.
- 活检期间患者的疼痛感知可以影响手术和患者的体验.
研究的目的:
- 为了确定影响TRUS引导前列腺活检期间疼痛水平的患者相关变量.
- 在接受前列腺活检的患者中,为减少疼痛的策略提供信息.
主要方法:
- 分析了237名接受TRUS引导前列腺活检的患者队列.
- 在12核活检之前,局部麻醉被输入肠道.
- 使用视觉模拟量表 (VAS) 量化疼痛,并将患者子组的得分进行比较.
主要成果:
- 平均VAS得分为4.3±1.9.9的平均值.
- 在数字直肠检查结果呈阳性的患者中观察到更高的疼痛评分.
- 较低的疼痛评分与使用5α减少酶抑制剂 (5-ARI) 有关.
结论:
- 特定于患者的因素可能会影响TRUS引导前列腺活检期间的疼痛.
- 了解这些因素可能会使得量身定制的疼痛管理方法成为可能.
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