前列腺切除术后静脉自控镇痛的疗效观察

A randomized comparison of clinical efficacy of patient controlled intravenous analgesia and routine analgesia for post-prostatectomy pain

目的 探讨前列腺切除术后简便、安全、有效的镇痛方法。 方法 10 4例BPH术后病人随机分为两组 ,A组 46例采用静脉自控镇痛 (PCIA) ,B组 5 8例按常规方法止痛。通过VAS评分、控制膀胱痉挛效果等指标进行综合评价。 结果 A组在止痛效果和控制膀胱痉挛方面明显优于B组 (P <0 .0 1) ,膀胱冲洗时间较B组缩短 (P <0 .0 5 ) ,差别有显著性意义。 结论 BPH术后应用PCIA镇痛及防止膀胱痉挛效果确切 ,有利于术后康复。

Objective To assess the clinical efficacy of patient controlled intravenous analgesia (PCIA) with mixture of fentanyl and droperidol for post-prostatectomy pain. Methods 104 patients undergone prostatectomy were randomly divided into two groups. In group A, the patients received PCIA.In group B, they received routine analgesia.The pain scores of visual analogue pain scale (VAS) and control of bladder spasm were recorded at various time postoperatively, and the time of continuous infusion of bladder, the time of indwelling catheter and the mean hospitalization time were also recorded. Results Compared with those of group B,the VAS,continuous time and ratio of bladder spasm decreased markedly in group A ( P <0.01). Meanwhile,during the whole period the time of continuous infusion of bladder,the time of indwelling catheter and the mean hospitalization time were all shortened ( P <0.05), denoting that PCIA would promote recovery. Conclusions PCIA is an effective ,convenient and safe analgesia method for post-prostatectomy pain.