PCA预防前列腺电汽化术后近期出血的临床研究(附209例分析)  

PCA to prevent prostate electric vaporizing postoperative bleeding recent clinical studie(sWith 209 cases analysis)

作　　者：唐艳斌 

机构地区：[1]永州市第三人民医院泌尿外科,湖南永州425000

出　　处：《求医问药（下半月）》2013年第2期544-,546,共2页Seek Medical and Ask The Medicine

摘　　要：目的:探讨术后镇痛在预防前列腺电汽化术后近期出血的作用。方法:回顾性分析209例良性前列腺增生行经尿道前列腺电汽化术(TUVP),应用术后镇痛技术119例,未应用90例。结果:PCA组无大出血形成膀胱积血,4例发生膀胱痉挛6次,生理盐水膀胱冲洗时间平均29.8小时,冲洗液平均用量118.6升;非PCA组大出血6例,形成膀胱积血堵塞导尿管,3例行膀胱镜下血块冲洗,47例发生膀胱痉挛83次,生理盐水膀胱冲洗时间平均51.6小时,冲洗液平均用量236.3升。两组比较大出血例次、膀胱痉挛发生次数、膀胱冲洗时间、冲洗液平均量,差异有显著意义(P<0.01)。结论:术后镇痛技术能有效控制膀胱痉挛,预防良性前列腺增生TUVP术后近期出血,是一种简单、可靠技术。Objective:To elevate the efficacy of patient controlled analgesin(PCA) prenventing postoperative hemorrage recently after TUVP for benign prostatic hyperplasia(BPH).Methods:Retrospective analysis the clinical data of characteristics of TUVP for 209 cases of BPH.209 cases were divided into 2 group.Group 1 received PCA(119 cases) and group 2 didn't receive(90 cases).Results:Group 1 didn't arise massive hemorrage.4 cases arise bladder spasm for 6 times.The mean time of bladder irrigation was 29.8 hours.The mean volume of irriigating fluid was 118.6 litter.Group 2 arise massive hemorrage for 6 cases and 3 cases irrigated blood coagula by cystoscopy.47 cases arise bladder spasm for 83 times.The mean time of bladder irrigation was 51.6 hours.The mean volume of irriigating fluid was 236.3 litter.By comparing times of massive hemorrage,times of bladder spasm,the mean time of bladder irrigation and the mean volume of irriigating fluid,significant difference was found between the two groups(P<0.01).Conclusions:PCA could prevent bladder spasm and postoperative hemorrage recently after TUVP for BPH.The results demonstrate that PCA is simple,efficacious and safe therapeutic option.

关 键 词：良性前列腺增生 术后镇痛 出血 

分 类 号：R699[医药卫生—泌尿科学]