PCEA在前列腺术后的应用

Application of PCEA for the treatment after prostatectomy

目的 评价硬膜外病人自控镇痛 (PCEA)对前列腺术后的镇痛作用。方法 将 12 0例前列腺切除术后患者随机分成PCEA组与对照组各 6 0例。PCEA组采用微量泵经硬膜外腔导管持续性注入镇痛药物 4～ 6ml/h ;对照组采用杜冷丁、优必达或其它解痉镇痛药治疗。用视觉模拟评分法进行测痛评分 ,记录各组患者膀胱痉挛次数及持续时间 ,停止冲洗时间等。结果 PCEA组与对照组相比镇痛效果显著 ,膀胱痉挛次数少 ,疼痛持续时间短 (P<0 .0 5 )。结论 PCEA在前列腺切除术后镇痛效果良好 ,能有效防治膀胱痉挛 ,减少术后出血 ,缩短冲洗时间。

Objective To evaluate the analgesic effect of patient controlled epidural anagesis in postoporative painrelief.Methods One hurdred and twenty patients undergoing prostatectomy were randomly ansigned to PCEA and control group. PCEA group 4～6ml/h of analgesis drug was injected into epidural space: In control group.Pethidine Hydrochloride,Flavoxate Hdroclorde Tablets or other treatment were injected in muscle VAS, frequency and duration of bladder spasm for discontinuance of bladder instillation were obsevred in each group.Results PCEA an is superior to the control group with characteristics of stable analgesis effect, short duration and low frequency of bladder spasna (P<0.05).Conclusions The analgesia effects of PCEA are very well in postoperation of prostatecotomy,which is valid with the prevention of bladder spasm reduction of complication after operation and shortening the time of instillation.