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目的探讨膀胱软镜镜检术中实时观看操作视频对男性患者术中疼痛的影响。方法 110例符合纳入标准的男性患者在我院接受诊断性或监测性膀胱软镜镜检并随机分为两组:A组患者镜检过程中实时观看膀胱软镜镜检视频,B组患者镜检过程中不观看镜检视频,每组55例患者,均由同一医生进行操作。两组患者在接受膀胱软镜镜检前及实时观看操作视频的过程中都伴有医生解说。镜检术后立即将患者术中痛感记录在视觉模拟疼痛评分(VAS)量表上(0～10分),同时记录呼吸频率及脉率。结果 A组男性患者的疼痛评分较B组降低,差异有统计学意义(1.29±1.20 vs 3.36±2.46,P<0.001)。两组患者术后呼吸频率、脉率差异无统计学意义。结论膀胱软镜镜检术中实时观看操作视频并接受医生讲解可降低男性患者痛感。
Objective To investigate the effect of intra-operative pain in male patients treated with live video of bladder softcopy. Methods A total of 110 male patients who met the inclusion criteria were enrolled in our hospital undergoing diagnostic or monitoring cystoscopy and were randomly divided into two groups: A group of patients undergoing microscopic examination during the microscopic examination in real time, B group Inspection process does not look at the video microscopy, 55 patients in each group, are operated by the same doctor. The two groups of patients were accompanied by a doctor’s explanation during the video examination of the bladder before and during real-time operation. Immediately after microscopy, intraoperative pain was recorded on the Visual Analog Pain Scale (VAS) scale (0-10) and respiratory rate and pulse rate were recorded. Results The score of pain in male patients in group A was lower than that in group B, and the difference was statistically significant (1.29 ± 1.20 vs 3.36 ± 2.46, P <0.001). There was no significant difference in respiratory rate and pulse rate between the two groups after operation. Conclusions The video of the bladder soft-lensoscopy in real time and the doctor’s explanation can reduce the pain of the male patient.