체외충격파쇄석술의 객관적인 통증 정도와 진통제의 필요성 분석
Analysis of the Subjective Pain and Need of Analgesics during Shockwave Lithotripsy
김형곤, 이병기, 백성현, 노용수,
소속 상세정보
김형곤 ( Kim Hyeong-Gon )
건국대학교 의과대학 비뇨기과학교실
이병기 ( Lee Byung-Ki )
건국대학교 의과대학 비뇨기과학교실
백성현 ( Paick Sung-Hyun )
건국대학교 의과대학 비뇨기과학교실
노용수 ( Lho Yong-Soo )
건국대학교 의과대학 비뇨기과학교실
KMID : 0358320070480030310
Abstract
Purpose: The subjective pain felt by patients during shockwave lithotripsy (SWL) and need of analgesics in patients with urinary stones were investigated.
Materials & Methods: Between September 2004 and January 2006, one hundred and ninety seven SWLs were undertaken(151 patients) using a SDS 5000(spark gap type, Comed, Korea). Ninety-five and 102 cases proceeded without premedication(no analgesics group) and diclofenac sodium, 1mg/kg IM, respectively, 30 minutes before lithotripsy(analgesics group). After the procedure, the subjective pain was estimated using a prospective questionnaire, with a 10-point visual analogue scale.
Results: The average subjective pain scores were 3.77 and 3.25 in the non analgesics and analgesics groups, respectively. There was no significantly difference between the two groups. However, the pain scores in the analgesics group were significantly lower in females(3.37 vs. 4.71) and cases of first SWL(3.10 vs. 4.09). In the no analgesics group, the pain score was not affected by the laterality, stone size, location of stone and tolerability, but was affected by sex, age and number of SWL attempts. In the analgesics group, the pain score was only affected by age. Seventy eight percent(74/95) and 63%(64/102) of the patients in the no analgesics and analgesics groups agreed that analgesic should not be recommended to other patients.
Conclusion: The subjective pain during SWL was tolerable; therefore, routine analgesics are not required. However, on the initial SWL in young female patient, the application of analgesics is considerable.(Korean J Urol 2007;48:310-314)
키워드
Urinary stone;Shockwave lithotripsy;Analgesics;Pain
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