目的通过对中国商环包皮环切术后不同拆环方法疼痛评分比较性研究,探索最佳拆环方法。方法按公开发表文献中介绍的3种拆环方法将284名包皮环切术后患者随机分组,采用国际通用的视觉模拟评分法(VAS)进行疼痛评分并组间比较。结果 3种方法中,温盐水浸泡法拆环疼痛评分最低,与其他2种方法比较,差异有统计学意义(P<0.01)。结论温盐水浸泡不仅能充分软化痂面、易于拆环,且降低患者疼痛的敏感性。操作简便易行,患者依从性高,减痛效果好。 Objective To compare the pain scores of different ring-removing methods after circumcision in China, and explore the best way to remove the ring. Methods A total of 284 circumcision patients were randomly divided into three groups according to the three methods described in the open literature. The pain scores were evaluated by the internationally accepted visual analogue scale (VAS) and compared between groups. Results Among the three methods, the warm-salt immersion method had the lowest pain-splitting ring rate, which was significantly different from the other two methods (P <0.01). Conclusion The immersion in warm salt water can not only soften the surface of the scab sufficiently, it is easy to remove the ring, and reduce the sensitivity of the patient’s pain. Easy to operate, patient compliance, pain relief effect.