软性膀胱镜检查与硬性膀胱镜检查中患者耐受性的比较

Time course of pain:Flexible cystoscopy vs.rigid cystoscopy

目的为进一步阐明软性膀胱镜在疼痛恢复方面相对于硬性膀胱镜的优势,我们对门诊患者在接受软性膀胱镜和硬性膀胱镜检查后的疼痛时间-过程做了统计比较。方法总共选择85例患者随机分组进行软性膀胱镜或硬性膀胱镜检查。对所有的患者在检查前、检查中、检查后15min和检查后3d的疼痛采用数字评分法(NRS评分,0～10分)进行评分。结果44例患者接受了软性膀胱镜检查(A组),41例患者接受了硬性膀胱镜检查(B组)。两组患者在检查操作过程中的NRS评分分别为A组1.9分和B组3.9分(P<0.001)。我们观察到,A组患者的疼痛评分在检查后15min就回到了检查前的疼痛评分水平(0.14～0.15),而B组患者在检查后15min其疼痛评分仍然维持在一个相对较高的水平(0.3～2.0)。最终,两组患者的疼痛评分在检查后3d均回到了检查前水平。结论软性膀胱镜在疼痛的恢复方面有其相对于硬性膀胱镜的优势。接受软性膀胱镜检查的患者较接受硬性膀胱镜检查的患者所经历的痛苦程度要轻。

Objective To further elucidate the advantages of flexible cystoscopy in pain recovery, we have compared the time course of pain in flexible cystoscopy and rigid cystoscopy in outpatients. Methods A total of 85 male patients were randomly assigned either to flexible cystoscopy or rigid cystoscopy. All patients were surveyed regarding their pain levels using numeric rating scale （NRS） ranging from zero to 10 before, during, 15 min post and 3 days post-examination. Results There were 44 patients accepted flexible cystoscopy （Group A） and 41 patients accepted rigid cystoscopy （Group B ）. The average NRS during examination was 1.9 and 3.9 in Group A and B respectively （ P 〈 0. 001 ）. Compared with preexamination pain score, we observed that pain score in Group A patients returned to pre-examination level （0. 14 vs 0. 15） 15 min post-examination,while pain score in Group B patients kept in relatively high level （0. 3 vs 2. 0）. However,pain score returned to pre-examination ievel in both group 3 days post-examination. Conclusions Flexible cystoscopy has its advantages over rigid cystoscopy in the aspect of pain recovery. Patients underwent flexible cystoscopy experience less pain than patients underwent rigid cystoscopy do.