压力袋灌与手动压力和重力排水,以减少柔性囊镜期间患者的不适,一个随机双盲受控试验的研究方案
David Armany1, Ankur Dhar2, Ashan Canagasingham2
1Department of Urology, Westmead Hospital, Corner Hawkesbury & Darcy Roads, Westmead , Sydney, 2145 NSW, Australia. David.Armany@health.nsw.gov.au.
BMC urology
|April 25, 2025
概括
这项研究将标准化压力袋与手动方法进行比较,以提高灵活囊镜期间的舒适性. 压力袋可能提供一种更一致,更有效的方式来减少患者在手术期间的疼痛.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性手术的方法
- 患者舒适性管理 患者舒适性管理
背景情况:
- 柔性囊镜是一种常见的门诊手术,用于诊断和监测泌尿病状况.
- 患者的不适是一个重大问题,建议使用手动袋挤压方法,但由于不一致性而受到限制.
- 正在研究标准化压力袋作为改善灌压力和患者体验的替代方案.
研究的目的:
- 评估标准化压力袋在柔性囊镜期间提高灌液压的有效性.
- 为了比较压力袋对减轻平均疼痛评分的影响,与手动挤压和重力排水方法相比.
- 评估患者报告的结果和与不同灌技术相关的并发症发生率.
主要方法:
- 一个随机的,受控的,双盲的,单中心的试验,涉及参与者接受灵活的囊镜检查.
- 参与者被随机分为三个组:压力袋,手动袋挤压和重力排水与模拟挤压.
- 主要结局是手术后立即平均疼痛评分 (数值评分表);次要结局包括PROMIS调查和并发症率.
主要成果:
- 结果正在等待,因为这是试验注册摘要.
- 该研究旨在严格比较三组干预组的疼痛评分和患者报告的结果.
- 数据收集将集中在即时的术后疼痛和长期结果,长达30天.
结论:
- 这项试验将确定压力袋是否可以有效地增加液体压力,并减少灵活囊镜期间患者的不适.
- 如果成功,压力袋液体灌可能成为新的护理标准,提高患者在泌尿外科手术中的舒适度.
- 这些发现旨在为柔性囊镜提供一种更一致和潜在的不那么痛苦的方法.
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