PCEA和PCIA用于TURP术后镇痛的临床效果及安全性对比观察

A randomized comparison of clinical efficacy of PCEA and PCIA in the patients undergone TURP

目的:比较PCEA和PCIA用于TURP术后镇痛的临床效果及安全性。方法:40例TURP术后镇痛患者随机分为PCEA和PCIA两组。观察指标:患者膀胱痉挛主观症状评分,48h内膀胱痉挛发作次数,膀胱痉挛持续时间,术后膀胱持续冲洗时间,呼吸抑制、恶心、呕吐、瘙痒等不良反应。结果:患者视觉模拟评分(VAS)、48h内膀胱痉挛发作次数、不良反应发生例数PCEA组低于PCIA组,有统计学意义(P<0.05);膀胱痉挛持续时间、术后膀胱持续冲洗时间PCEA组低于PCIA组,有统计学意义(P<0.05)。结论:PCEA用于TURP术后镇痛,效果及安全性均优于PCIA。

Objective： To ,compare the clinical efficacy of patient controlled epidural analgesia（PCEA） and patient con trolled patient intravenous analgesia （PCIA） in patients undergone TURP. Methods： 40 cases undergone TURP were randomly divided into two groups. To observe the symptoms score,the number of bladder spasm in forty-eight hours,the time of bladder perfusion clearance and other complications. Results： Compared with those of PCIA group,the VAS, continuous time,ratio of bladder spasm and the complications decreased markedly in PCEA group （P〈0.05）.The time of continuous infusion of bladder in group PCEA was shortened （P〈0.05）. Conclusion： Compared with PCIA, PCEA is the more effective and safe analgesia method for post-prostatectomy pain.