Anorektal hastalığı olan hastalarda transrektal prostat biyopsisi için yapılan kaudal blok ve intrarektal jel anestezilerinin etkinliğinin karşılaştırılması

Year 2013, Volume: 8 Issue: 1, 45 - 49, 01.01.2013

Mehmet Yücel Şahin Kabay Levent Şahin Tayfun Aydın Tayfun Cücioğlu

Abstract

Giriş: Anorektal hastalığı olan TRUS eşliğinde prostat biyopsisi yapılan hastalarda kaudal blok ve intrarektal jel anestezisinin analjezik etkinliğini karşılaştırdık.Gereç ve Yöntemler: Çalışmaya anorektal hastalığı olan ve TRUS eşliğinde biyopsi yapılan toplam 100 hasta alındı. Kaudal grupta 15 ml lidocaine %1 lidocaine kaudal boşluğa uygulandı 50 hasta ve intrarektal grupta prostat biyopsisinden 15 dakika önce 15 cc %2 lidocaine jel intrarektal olarak uygulandı 50 hasta . Anestezi işlemi sırasında, prob yerleştirme sırasında ve prostat biyopsisi sırasında ağrı skorunun ölçmek için hastanın kendi yaptığı visual analog skala VAS uygulandı.Bulgular: Prob yerleştirme sırasında ve prostat biyopsi sırasında ölçülen ortalama VAS skorları Grup 1’de Grup 2’ye göre daha düşüktü p

Keywords

Kaudal blok , intrarektal jel , prostat biyopsisi , visuel analog skala

Comparison of the caudal block anesthesia and ıntrarectal gel anesthesia for transrectal prostate biopsy in patients with anorectal disorders

Abstract

Objective: We compared the analgesic efficacy of the caudal block anesthesia and intrarectal gel anesthesia for TRUS-guided prostate biopsy in patients with anorectal disorders.Materials and Methods: A total of 100 patients which had anorectal disorders undergoing biopsy were entered into this study. 15 ml of lidocaine 1% lidocaine was into the caudal space in caudal group first 50 patients and 15 cc 2% lidocaine gel were applied intrarectally in intrarectal gel group last 50 patients 10 minutes before the prostate biopsy. A self-administration visual analogue scale VAS was used to assess the pain score during anesthesia, during probe insertion and during prostate biopsy.Results: The mean VAS score during the probe insertion and during the prostate biopsies is lower in group 1 than group 2, p

Keywords

Caudal block , intrarectal gel , prostate biopsy , visual analog scale

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