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关于避免患者在通过尿道检查时感到疼痛和不适的指导意见
Avani P Desai1, Angela B Smith1, Yair Lotan2
1Department of Urology, University of North Carolina Chapel Hill, Nc.
Expert review of medical devices
|October 23, 2025
概括
在柔性囊镜术期间减少不适是患者坚持治疗的关键. 增加灌,音乐和可视化等简单的策略为泌尿器科护理提供了显著的好处.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 疼痛管理 疼痛管理
- 医疗程序 医疗程序
背景情况:
- 囊镜是膀癌和出血症的常见泌尿器科手术.
- 囊镜检查期间患者的不适会影响患者遵守监测和护理质量.
研究的目的:
- 审查关于干预措施的证据,以减少柔性囊镜期间的不适.
- 确定有效的和可实施的策略,用于疼痛管理在泌尿病学.
主要方法:
- 从2000年到2025年发表的53项随机对照试验 (RCT) 的系统综述.
- 在PubMed上搜索了关于囊镜和疼痛管理的研究.
- 研究了包括利多卡因,可视化,音乐,灌和行为方法在内的干预措施.
主要成果:
- 没有单一的干预措施可以完全消除不适.
- 增加灌压力,患者的音乐选择和实时可视化显示出显著的好处.
- 药理选择可能适合特定的高风险患者.
结论:
- 低成本,可实施的策略可以有意义地减少囊镜的不适.
- 未来的研究应该专注于多式联运,个性化和现实世界的方法.
- 整合以患者为中心的疼痛缓解可以提高程序质量和泌尿器科护理的遵守.
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