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目的探讨盐酸奥布卡因凝胶在膀胱镜检查中的应用效果。方法选取乐亭县中医医院2011年1月—2014年1月收治的126例行膀胱镜检查的患者,根据患者的单双编号随机分为观察组和对照组,各63例。对照组患者采用利多卡因行尿道灌注麻醉,石蜡油进行器械润滑,观察组患者采用盐酸奥布卡因凝胶进行尿道麻醉和器械润滑,比较两组患者的插镜成功率、视觉评分法(VAS)评分以及术后并发症发生率。结果观察组患者的插镜成功率(92.06%)高于对照组(71.43%),术中疼痛VAS评分低于对照组,术后并发症发生率(1.59%)低于对照组(15.87%),差异有统计学意义(P<0.05)。结论将盐酸奥布卡因凝胶应用于膀胱镜检查能够有效地提高插镜成功率,降低患者的术中疼痛程度和术后并发症发生率。
Objective To investigate the effect of buprenorphine hydrochloride gel in cystoscopy. Methods A total of 126 patients undergoing cystoscopy from January 2011 to January 2014 in Laoting Chinese Medicine Hospital were randomly divided into observation group and control group according to the single and double number of patients. Patients in the control group were treated with urethral perfusion with lidocaine and lubricated with paraffin oil. Urinary tract anesthesia and instrumental lubrication were performed on the observation group with buprenorphine hydrochloride gel. The success rate of inserting the lens in two groups was compared. Visual score method ( VAS) score and the incidence of postoperative complications. Results The success rate of inserting lens in the observation group was 92.06%, which was lower than that of the control group (71.43%). The VAS score of intraoperative pain was lower than that of the control group. The incidence of postoperative complications (1.59%) was lower than that of the control group (15.87% , The difference was statistically significant (P <0.05). Conclusion The application of buprenorphine hydrochloride gel in cystoscopy can effectively improve the success rate of phacoemulsification and reduce the intraoperative pain and the incidence of postoperative complications.