奥布卡因表面麻醉和利多卡因局部阻滞麻醉对经直肠前列腺穿刺术疼痛控制的比较

Comparison of oxybuprocaine topical anesthesiavs lidocaine local anesthesia for pain control in transrectal prostate biopsy

目的比较奥布卡因、利多卡因两种不同应用方式:表面麻醉和局部阻滞麻醉,对于经直肠前列腺穿刺术中疼痛的控制效果。方法将符合前列腺穿刺指征的患者共120例随机抽签分为两组,分别是表面麻醉组(表面组)和局部阻滞组(阻滞组),两组均通过相同方式行经直肠前列腺穿刺活检,术后通过视觉模拟评分(VAS)进行疼痛评分。同时比较两组的手术时间,手术后并发症发生率。结果表面组术后疼痛评分平均为4.84±1.48,阻滞组术后疼痛评分平均为3.87±1.22,两组统计学无明显差异(P>0.05)。手术时间表面组明显小于阻滞组。穿刺术后并发症无明显差异。结论奥布卡因表面麻醉和利多卡因局部阻滞麻醉对经直肠前列腺穿刺的术中疼痛控制无明显差异,而表面麻醉操作更简便,且可有效缩短手术时间。

To compare the effects of oxybuprocaine topical anesthesia and lidocaine local anesthesia for pain control in patients who underwent transrectal prostate biopsy. Methods A total of 120 cases were randomly divided into two groups：topical anesthesia group （group 1） and local anesthesia group （group 2）. Both groups underwent the same way of transrectal prostate biopsy. The operation time，postoperative complications and visual analogue scores （VAS） of the two groups were compared. ResultsThe average VAS was 4.84 for group 1 and 3.87 for group 2，and there was no significant difference between the two groups （P＞0.05）. Operation time of group 1 was significantly shorter than that of group 2. There was no significant difference in postoperative complications. Conclusion There is no significant difference between local anesthesia by oxybuprocaine and topical anesthesia of lidocaine in pain control during transrectal prostate biopsy. However，oxybuprocaine topical anesthesia is more convenient for operation and effective to shorten the operation time.