摘要
目的比较三种镇痛方法对经尿道前列腺电切术(transurethral prostatic resection,TURP)后膀胱痉挛性疼痛的效果。方法TURP手术患者138例,随机分为三组:56例术后接受硬膜外自控镇痛(patient-controlled epidural analgesic,PCEA)者为PCEA组;47例行静脉自控镇痛(patient-controlledintravenous anesthesia,PCIA)者为PCIA组;35例术后接受吲哚美辛栓肛塞加吗啡肌注为常规镇痛组。比较三组手术当日及术后3 d膀胱痉挛的次数、疼痛评分及膀胱冲洗时间。结果PCEA组与PCIA组膀胱痉挛次数与VAS评分均显著低于常规对照组,膀胱冲洗时间亦短于常规镇痛组(P<0.01)。结论TURP术后应用PCEA、PCIA预防膀胱痉挛效果好。
Objective To compare the effects of three analgesic methods for bladder spastic pain after transurethral prostatic resection （TURP）. Methods 138 patients underwent TURP were randomized into three groups： 56 patients received patient-controlled epidural analgesia （PCEA） were considered as PCEA group, 47 obtained patient-controlled intravenous anesthesia （PCIA） as PCIA group, and the other 35 patients underwent indometacin suppositories plus morphine analgesia as control group. Times of cystospasm, VAS score of pain, and bladder irrigation time were compared among the three groups. Result In PCEA group and PCIA group, the times of cystospasm and VAS score were lower, and the bladder irrigation time was also shorter than those of control group （ P 〈 0.01 ）. Conclusion Both PCEA and PCIA would attain positive effect to prevent cystospasm after TURP.
出处
《中国现代手术学杂志》
2009年第5期384-386,共3页
Chinese Journal of Modern Operative Surgery
关键词
经尿道前列腺切除术
镇痛
硬膜外
镇痛
病人控制
前列腺增生
transurethral resection of prostate
analgesia, epidural
analgesia, patient-controlled
prostatic hyperplasia
