前列腺切除术后肛内塞药镇痛治疗的疗效观察

Application of Stuffing Drug into Anus at Varied Channel for the Treatment after Prostatectomy

目的探讨肛内塞药镇痛与连续硬脊膜外腔给药镇痛对前列腺切除术后镇痛效果和安全性。方法128例前列腺切除术后患者随机分成肛内塞药镇痛组和连续硬脊膜外腔给药镇痛组,肛内塞药镇痛组68例肛内塞入双氯酚酸钠栓镇痛,连续硬脊膜外腔给药镇痛组51例连续硬脊膜外腔导管注入吗啡、布比卡因、芬太尼等混合液镇痛,观察并记录膀胱痉挛次数、疼痛持续时间、停止冲洗时间等。结果两组镇痛效果均好,但肛内塞药镇痛组膀胱痉挛次数及持续时间,明显优于连续硬脊膜外腔给药镇痛组,两组比较有显著差异(P<0.05)。结论肛内塞药镇痛比连续硬脊膜外腔给药镇痛对前列腺切除术后镇痛效果好,经济实惠又方便。

Objective To evaluate the analgesic effects of stuffing drug into epidural space in postoperative pain relief. Methods One hundred and twenty-eight patients undergoing prostatectomy under epidural anesthesia were randomly assigned to stuffing drug in anus （SDA） or patient - controlled epidural analgesia （PCEA） group and control group SDA group sixty-eight patients stuffing （diclofenac sodium suppository）was injected into epidural space PCEA group 51 patients, Morphine Bubicaine ect mixture liquid were injected into epidural space,frequency and duration of bladder spasm for discontinuance of Madder instillation were observed and recorded. Results The effects of two kinds of epidural are very well, but SDA group is superior to the control group with characteristics of stable analgesic effect short duration and low frequency of bladder spasna, it is clearly better than PCEA. There were clearly difference between the SDA and the PCEA group（P〈0.05）. Conclusion The SDA group is the better treatment after prostatectomy than the PCEA group,it is more economical, practical and convenient.