摘要
目的 观察比较术后硬膜外自控镇痛 (PCEA)与术后常规镇痛镇静对前列腺摘除术后前列腺窝出血的影响。方法 将随机分组的前列腺摘除术后的患者分别给予硬膜外自控镇痛和常规镇痛。结果 PCEA能明显减少膀胱痉挛的发生率 ,缩短其发作时间 (P <0 0 5 )。抑制患者的收缩血压上升 (P <0 0 5 )。从而缩短术后出血时间 (P <0 0 5 )。结论 PCEA能减少前列腺术后出血。其疗效确实、安全 。
Objective To compare the efficacy of patient-controlled epidural analgesia(PCEA) and routine analgesia on treatment of bleeding in patients prostate pit after prostatectomy.Methods 82 patients underwent prostatectomy were randomly divided into two groups:patient-controlled epidual analgesia(n=40) and routine postoperative analgesia (n=42).Results As compared with control group,the rate and duration of bladder spasm were reduced significantly in PCEA group(P<0 05),the elevation of systolic pressure was inhibited by PCEA(P<0 05),and then the postoperative bleeding time was shortened(P<0 05).Conclusion PCEA could shorten bleeding time after prostatectomy. It's efficacy is certain,has merits of safe and rapid rehabilitation.
出处
《中国医师杂志》
CAS
2003年第2期198-199,共2页
Journal of Chinese Physician
