盐酸氢吗啡酮用于前列腺电切术后硬膜外镇痛疗效分析

Clinical analysis of epidural analgesia after transurethral resection of prostate

目的:探讨盐酸氢吗啡酮在前列腺电切术后硬膜外镇痛中的应用效果。方法:收治行前列腺电切术的前列腺增生患者108例,随机分为衍生组与对照组,各54例。衍生组给予盐酸氢吗啡酮镇痛方案,对照组给予盐酸吗啡镇痛方案。结果:术后10 h时,衍生组VAS评分明显低于同期对照组(P<0.05);术后24 h时,衍生组VAS评分较术后1h有明显上升,明显低于同期对照组(P<0.05)。术后10h、24h,衍生组Ramsay镇静评分均较术后1h明显升高,且高于同期对照组(P<0.05)。结论:盐酸氢吗啡酮用于前列腺电切术后硬膜外镇痛可取得良好的镇痛、镇静效果。

Objective:To investigate the effect of hydrochloric acid hydrochloride hydrochloride on epidural analgesia after transurethral resection of prostate.Methods:108 cases of BPH patients treated with transurethral resection of prostate were selected.They were randomly divided into the derivation group and the control group with 54 cases in each group.The patients in the derivation group received the analgesic scheme of morphine hydrochloride,and the control group received morphine hydrochloride analgesia.Results:At 10 h after operation,the VAS score of the derivative group was lower than that of the control group(P<0.05);after 24 h,the score of VAS in the derivative group was significantly higher than that of the postoperative 1 h,significantly lower than that of the control group(P<0.05).After 10 h and 24 h,the sedation score of ramsay in the derivative group was significantly higher than that of the 1 h after operation,and higher than that of the control group(P<0.05).Conclusion:Conclusion analgesia with morphine hydrochloride is a good analgesic and sedative effect after transurethral resection of prostate.