论文部分内容阅读
目的 探讨耻骨上经膀胱前列腺切除术后不同镇痛方法的效果。方法 选择 75例施行耻骨上经膀胱前列腺切除术患者 ,随机分成PCIA组、CIEA组及对照组 ,每组 2 5例。PCIA组术后 48h静脉持续注入吗啡 ( 2 0mg/h) ,患者疼痛时自行追加吗啡1 0mg/次 ,锁定时间 2 0min ;CIEA组术后 48h持续经硬膜外导管注入吗啡 ( 0 0 8mg/h)。对照组出现疼痛时肌注哌替啶 5 0～ 75mg或其他解痉镇痛药。以镇痛治疗期间患者的视觉模拟评分 (VAS)、膀胱痉挛次数及持续时间、膀胱冲洗时间、血压等为指标进行观察比较。结果 CIEA组及PCIA组与对照组比较具有镇痛效果显著、膀胱痉挛次数少、疼痛持续时间短、膀胱冲洗时间短的优点 (P <0 0 1)。PCIA组与CIEA组比较上述指标差异无显著性 ( P >0 0 5 )。PCIA组与其他两组比较肛门排气时间延长 ( P <0 0 1)。结论 CIEA及PCIA对经膀胱前列腺摘除术后患者镇痛效果良好 ,以CIEA为优
Objective To investigate the effect of different analgesia after suprapubic transvesical prostatectomy. Methods Seventy-five patients undergoing suprapubic transvesical prostatectomy were randomly divided into PCIA group, CIEA group and control group, with 25 cases in each group. Morphine (20mg / h) was injected continuously into the PCIA group at 48 hours after the operation. Morphine was added at the dose of 10mg / time and the lock-up time was 20 minutes. The morphine (0.080mg / h). In the control group, intramuscular injection of pethidine 50 ~ 75 mg or other antispasmodic analgesics occurred during pain. The visual analogue scale (VAS), the number and duration of bladder spasm, bladder irrigation time and blood pressure during the analgesic treatment were observed and compared. Results Compared with the control group, CIEA group and PCIA group had the advantages of significant analgesic effect, less bladder spasm, shorter duration of pain and shorter bladder irrigation time (P <0.01). There was no significant difference between the PCIA group and the CIEA group (P> 0.05). The anal exhaust time was longer in the PCIA group than in the other two groups (P <0.01). Conclusion CIEA and PCIA have a good analgesic effect on patients after transurethral resection of the prostate, with CIEA as the best