CAJ | 학술논문

目的比较患者在行经直肠前列腺穿刺活检术时,在直肠内及肛周使用丁卡因胶浆或单纯润滑剂,患者所经历的疼痛情况.方法回顾性分析2011年1月至2013年1月120例行经直肠前列腺穿刺患者的临床资料.其中术中采用单纯性润滑剂患者60例(组Ⅰ),采用丁卡因胶浆患者60例(组2).采用水平视觉疼痛评分法评估患者经历的疼痛程度.结果通过组间比较,两组患者疼痛程度与患者年龄、PSA水平、DRE是否异常、穿刺数目及术后并发症发生等均无统计学意义(P＞0.05),当穿刺器械进入肛门时患者疼痛不适评分组1为2.8±1.8分,组2为1.3±1.6分(P=0.000＜0.05),当行前列腺穿刺活检术时患者疼痛不适评分组1为5.5±1.7分,组2为3.3±1.5分(P=0.211 ＞0.05).结论麻药制剂并不能增加经直肠前列腺穿刺活检术的安全性,但采用麻药制剂(如丁卡因胶浆)后可明显减轻穿刺所带给患者的疼痛不适.
목적 비교환자재행경직장전렬선천자활검술시,재직장내급항주사용정잡인효장혹단순윤활제,환자소경력적동통정황.방법 회고성분석2011년1월지2013년1월120례행경직장전렬선천자환자적림상자료.기중술중채용단순성윤활제환자60례(조Ⅰ),채용정잡인효장환자60례(조2).채용수평시각동통평분법평고환자경력적동통정도.결과 통과조간비교,량조환자동통정도여환자년령、PSA수평、DRE시부이상、천자수목급술후병발증발생등균무통계학의의(P＞0.05),당천자기계진입항문시환자동통불괄평분조1위2.8±1.8분,조2위1.3±1.6분(P=0.000＜0.05),당행전렬선천자활검술시환자동통불괄평분조1위5.5±1.7분,조2위3.3±1.5분(P=0.211 ＞0.05).결론 마약제제병불능증가경직장전렬선천자활검술적안전성,단채용마약제제(여정잡인효장)후가명현감경천자소대급환자적동통불괄.
Objectives The aim of this study was to compare the level of pain experienced by patients during TRUS-guided prostate biopsy using intrarectal 1％ Tetracaine Hydrochloride Jelly versus Liquid paraffin.Methods 120 men using intrarectal 1％ Tetracaine Hydrochloride Jelly versus Liquid paraffin in a protocol for prostate-cancer screening were analyzed.In this study we compared the pain and discomfort associated with prostate biopsy between two group of patient.Group 1 consists of 60men who received simple Liquid paraffin,and group 2 consists of 60 men who were given 1％ Tetracaine Hydrochloride Jelly before the biopsy.Pain score measured by horizontal visual analogue scales.Results There were no statistical differences between the two groups in terms of age,serum PSA,DRE,TURS,biopsy core number and complications after biopsy(P ＞ 0.05).The average pain score at the time of insertion of the ultrasound probe were 28 ± 1.8 and 1.3 ± 1.6 (P =0.000 ＜ 0.05) and the average pain score at the time of taking biopsy were 5.5 ± 1.7and 3.3 ± 1.5 (P =0.211 ＞ 0.05),respectively.Conclusions TRUS-guided prostate biopsy of the prostate can be safely whether or not anaesthesia in patients.But used 1％ Tetracaine Hydrochloride Jelly in the rectal and perianal before TURS-guided prostate biopsy is an effective method for relieving biopsy-relate pain during the procedure.