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首页> 外文期刊>International braz j urol >Predicting procedural pain after ureteroscopy: does hydrodistention play a role?
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Predicting procedural pain after ureteroscopy: does hydrodistention play a role?

机译：预测输尿管镜检查后的程序疼痛：氢化物是否发挥作用？

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Purpose: To identify perioperative predictors of immediate pain after ureteroscopy, specifically evaluating the impact of hydrodistention from irrigation on pain. Materials and Methods: We retrospectively identified patients who underwent ureteroscopy for the treatment of calculi. Data recorded for these patients included their maximum pain score in the post-anesthesia care unit (PACU), average flow rate of irrigant used during the procedure, patient and stone characteristics, operative procedure, and details of patients' immediate, post-operative course. Spearman's rho was used to determine the relationship between non-parametric, continuous variables. Then, a linear regression was performed to assess which variables could predict the peak pain score. Results: A total of 131 patients were included in the study. A non-parametric correlation analysis revealed that maximum pain score was negatively correlated with being male (r = a??0.18, p=0.04), age (r = a??0.34, p<0.001), and post-op foley placement (r = a??0.20, p=0.02) but positively correlated with the preoperative pain score (r = 0.41, p<0.001), time in the PACU (r = 0.19, p = 0.03), and the morphine equivalent dose (MED) of narcotics administered in the PACU (r = 0.67, p<0.001). On linear regression, the significant variables were age, preoperative pain score, and stent placement. For every ten-year increase in age post-operative pain score decreased by 4/10 of a point (p = 0.03). For every 1 point increase in preoperative pain score there was a 3/10 of a point increase in the maximum pain score (p = 0.01), and leaving a stent in place post-operatively was associated with a 1.6 point increase in the maximum pain score. Conclusions: Hydrodistention does not play a role in post-ureteroscopy pain. Patients who are younger, have higher preoperative pain scores, or who are stented will experience more post-operative pain after ureteroscopy.
机译：目的：鉴定输尿管镜检查后立即疼痛的围手术期预测因子，特别是评估水力灌溉的影响疼痛。材料与方法：我们回顾性鉴定了接受输尿管镜检查治疗计算的患者。这些患者记录的数据包括在麻醉后护理单位（PACU）中的最大疼痛评分，在手术，患者和石材特征，手术过程中使用的灌溉剂的平均流量，操作程序和患者立即，操作后疗程的细节。 Spearman的Rho用于确定非参数，连续变量之间的关系。然后，进行线性回归以评估哪些变量可以预测峰值疼痛评分。结果：研究中共有131名患者。非参数相关分析显示，最大疼痛评分与雄性呈负相关（r = a ?? 0.18，p = 0.04），年龄（r = a ?? 0.34，p <0.001）和op foley放置（r = a ?? 0.20，p = 0.02）但与术前疼痛评分（r = 0.41，p <0.001）正相关（r = 0.19，p = 0.03），以及吗啡当量剂量（在PACU施用的麻醉剂（r = 0.67，p <0.001）。在线性回归，重要变量是年龄，术前疼痛评分和支架放置。对于每十年的年龄增加，术后疼痛得分减少4/10点（P = 0.03）。对于术前疼痛评分的每1点增加，在最大疼痛评分（P = 0.01）中有3/10的点增加（P = 0.01），并在可操作地留下支架与最大疼痛的最大疼痛增加1.6点分数。结论：氢化物不会在输尿术后疼痛中发挥作用。年轻的患者具有更高的术前疼痛评分，或者困难的人会在输尿管镜检查后经历更多的术后疼痛。

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