前列腺切除术后硬膜外镇痛治疗46例分析

Analysis of 46 cases of postoperative epidural analgesia after prostatetomy

目的 探讨布比卡因、芬太尼和氟哌啶混合液持续硬膜外注射镇痛对前列腺切除术后膀胱痉挛的疗效。方法 4 6例前列腺增生行耻骨上前列腺切除术患者随机分为两组 ,术后硬膜外持续注射上述混合液者为镇痛组 ;单纯的杜冷丁等肌注镇痛者为对照组。观察两组病人膀胱痉挛的次数、持续时间、术后膀胱冲洗天数。结果 镇痛组膀胱痉挛发生率、次数、持续时间、膀胱冲洗天数与对照组有显著性差异。结论 布比卡因、芬太尼和氟哌啶混合液硬膜外持续注射镇痛能有效缓解前列腺切除术后膀胱痉挛 ,减少术后膀胱出血。

Objective The analgesic effects of continuous imfusion of fantynyl,bupivacaine and droperidolum into epidural space after prostatectomy were evaluated.Methods Forty six patients undergoing prostatectomy were randomly divided into two groups:epidural analgesia group and control group.Continuous infusion of fantynyl,bupivacaine and droperidolum were adoped in epidural analgesic group.Analgesia of control group was pethidine intramuscular only if need.Observed frequency and duration of bladder spasm between the two groups Results Difference of frequency and duration of bladder spasm between epidural analgesic group and control group is remarkable.Conclusion Continuous of fantynyl,bupivacaine and droperidolum into epidural space after prostatectomy is effective in relieving bladder spasm and bladder bleeding.