软性膀胱镜检查疼痛情况探讨及麻醉方法的选择  

Evaluation of pain status of flexible cystoscopy and anesthesia strategy

作　　者：钱庆鹏[1] 于广海[1] 

机构地区：[1]大连市中心医院泌尿外科,116033

出　　处：《现代泌尿生殖肿瘤杂志》2014年第6期337-339,共3页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的：分析比较软性膀胱镜检查的疼痛情况及不同麻醉方法的效果，探讨软性膀胱镜检查麻醉方法的选择。方法2011年至2014年行软性膀胱镜检查男性患者150例，年龄18∽91岁。软镜检查的麻醉方式包括2%利多卡因注射液20 ml尿道灌注并保留3 min（A组）、利多卡因凝胶尿道灌注后保留3 min（B组）及无麻醉（C组）三种方式。麻醉方式按照检查次序交替选用，各组均50例。对不同麻醉方式下软性膀胱镜检查的疼痛、检查完成率、病灶检出率、输尿管口发现率、检查后血尿及检查后疼痛等情况进行比较。分析不同麻醉方式对软性膀胱镜检查疼痛的影响。结果三组在疼痛评分、检查时间、检查完成率、病灶检出率、输尿管口发现率、检查后血尿及检查后疼痛等方面的差异均无统计学意义。结论软性膀胱镜检查疼痛轻微，单纯软性膀胱镜检查可以考虑不用任何麻醉。Objective To assess the pain status of flexible cystoscopy under different anesthe-sia. Methods Between 2011 and 2014,150 cases of flexible cystoscopies were performed in male patients,aging 18 to 91 years.The cystoscope adopted was optical.Cases underwent flexible cysto-scopy were divided into three groups according to different anesthetic methods including infusion of 20 ml of 2% lidocaine solution for 3 min,infusion of 20 ml lidocaine gel for 3 min and none anesthetics.Evaluations were made between the three groups with regard to pain score,time consumption,rate of completion,rate of lesion detection,visual field,and bleeding and pain complications after cystoscopy. Results There is no difference in pain scale in the groups of 2% lidocaine solution,lidocaine gel and none anesthetics（1 .3 6 ±0.94,1.34±0.92,1.26±0.92;P=0.786）.There is no difference in time consumption,rate of completion,rate of lesion detection,visual field,bleeding and pain complication. Conclusions Pain of flexible cystoscopy is slight,which makes it unnecessary to adopt any anesthesia.

关 键 词：软性膀胱镜 疼痛 麻醉 

分 类 号：R614[医药卫生—麻醉学]