摘要
目的:探讨前列腺切除术后不同镇痛方法的临床效果。方法;选取耻骨上经膀胱前列腺切除患者69例,随机分成两组,Ⅰ组39例,术后以硬膜外持续注药（CEIA）法镇痛。Ⅱ组30例,术后以肌注强痛定、异丙嗪或哌替啶50mg止痛。术后以VAS评分观察镇痛效果、对比冲洗膀胱时间用液量及术后并发症。结果:Ⅰ组与Ⅱ组比较膀胱痉挛性疼痛次数少,持续时间短,冲洗膀胱时间缩短,副作用少,两组差异显著。结沦:CEIA对前列腺术后患者镇痛效果良好,副作用少,有利于术后恢复。
Objective To evaluate the clinic effects of different pain-relief methods following prostatectomy. Method 69 cases of patients undergoing suprapubic prostatectomy were divided into two groups randomly. 39 cases of group I accepted continuous epidural infusion analgesia(CEIA), and 30 cases of group II accepted injection of dolantin 50mg to relief pain. Evaluate the pain-relief effects by using VSA score, contrasting the lasting hours and liquid quantity of rinse urinary bladder, contrasting the complications of the operation. Results Group I is superior to group II with the times of bladder spasna and duration, lasting hours of rinse bladder and complications, and there is a significant difference betweent them. Conclusion The analgesia effects of CEIA following prostatectomy are very well, CEIA reduce the side effects of the prostatectomy, and is propitious to resume after operations.
出处
《吉林医学》
CAS
2002年第4期223-224,共2页
Jilin Medical Journal
关键词
前列腺切除术
硬膜外镇痛
吗啡
哌替定
Prostatectomy
Analgesia
Epidural cavity
Morphine
Dolantin
