| 张闯,张夏梦,梅雪峰,田英,赵娟,陈岚,夏雨果,曾文彤.输尿管硬镜在拔除输尿管支架管中的应用及患者疼痛耐受性研究[J].实用中西医结合临床,2020,20(7): |
| 输尿管硬镜在拔除输尿管支架管中的应用及患者疼痛耐受性研究 |
| The Application of Rigid Ureteroscope in The Removal of Ureteral Stent and The Study of Pain Tolerance of Patients |
| 投稿时间：2020-01-12 修订日期：2020-02-14 |
| DOI： |
| 中文关键词: 输尿管硬镜 输尿管支架管 疼痛 |
| 英文关键词: ureteroscope ureteral stent pain |
| 基金项目: |
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| 中文摘要: |
| 摘要:目的 研究输尿管硬镜在拔除输尿管支架管中的应用价值并对接受输尿管硬镜拔管患者疼痛耐受性情况进行比较分析。方法 120例留置输尿管支架管的男性患者，60例行输尿管硬镜拔管，60例行膀胱硬镜拔管；记录两组的拔管时间及拔管中的疼痛评分，对两组的拔管时间及术中的疼痛评分进行比较分析。结果 比较两组拔除支架管的平均操作时间，差异无统计学意义（P=1.000）；比较两组患者的疼痛评分，输尿管硬镜组轻～中度疼痛患者的比例显著高于膀胱镜组（96.67% vs 36.67%）；输尿管硬镜组平均疼痛评分低于膀胱镜组，差异有统计学意义（P＜0.05）。结论 输尿管硬镜下拔除输尿管支架管可显著减轻患者的疼痛程度，值得临床推广。 |
| 英文摘要: |
| Abstract：[Objective] To study the application value of rigid ureteroscope in the removal of ureteral stent, and to compare the pain tolerance of patients receiving rigid ureteroscope. [Methods] 120 male patients with ureteral stent, 60 with ureteroscopy and 60 with cystoscopy, recorded the time of extubation and pain score during extubation, and compared the time of extubation and pain score during operation between the two groups. [Results] The difference was not statistically significant between the two groups in the average operation time of stent removal (P=1.000);the pain score of the two groups was significantly higher in the ureteroscope group than in the cystoscope group (96.67% vs 36.67%); the average pain score of the ureteroscope group was lower than that of the cystoscope group (P<0.05). [Conclusion] the removal of ureteral stent under rigid ureteroscope can significantly reduce the degree of pain in patients, which is worthy of clinical promotion. |
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