自控镇痛防治前列腺电切汽化术后膀胱痉挛性疼痛  

Clinic observation of preventing and curing bladder cramp pains after transurethral electrovaporization ablation of the prostate with patient controlled epidural analgesia(PCEA)

作　　者：张坤全[1] 阮定国[1] 冯肇洪[1] 

机构地区：[1]肇庆市第一人民医院麻醉科,广东肇庆526021

出　　处：《中国基层医药》2005年第9期1183-1184,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察硬膜外自控镇痛(PCEA)应用于经尿道前列腺电切汽化术(TUVP)术后镇痛以及防治膀胱痉挛性疼痛的效果。方法70例行TUVP患者,随机分为PCEA组(n=35)和传统间断肌注镇痛(CAT)组(n=35)。PCEA组患者术毕保留硬膜外导管,行硬膜外自控镇痛;CAT组术毕拔除硬膜外导管,疼痛时肌注盐酸哌替啶。分别记录两组病例术后镇痛效果及膀胱痉挛性疼痛的发生率。结果视觉模拟评分(VAS)、膀胱痉挛性疼痛发生率、持续冲洗时间及留置尿管时间PCEA组均少于CAT组。结论PCEA可有效防治TUVP术后膀胱痉挛性疼痛,减少膀胱痉挛引起的出血,优于传统间断肌内注射镇痛。Objective To evaluate the clinic effects of patient controlled epidural analgesia（PCEA） on preventing and curing bladder cramp pains after transurethral electrovaporization ablation of the prostate （TUVP）. Methods 70 TUVP patients were divided into the PCEA group（ n = 35） and CAT（ n = 35） group randomly. For the patients in the PCEA group, the epldural catheters were remained after the operations, and PCEA was administered;for the patients in the CAT group, the epidural catheters were removed after the operations,and pethidine hydrochloride was injected when pains happened. The analgesic results and the occurrence rare of bladder cramp pains of these two groups were recorded. Results The visual analogue scale（VAS） ,occurrence rate of bladder cramp pains, the time of continual rinsing and the indwelling time of catheter of the PCEA group were all less than those of the CAT group. Conclusion Patient controlled epidural analgesia（PECA） can effectively relieve bladder cramp pains after TUVP,reduce bleeding caused by bladder cramp. It＇s better than conventional analgesic therapy for it has good curative effects and little side effects.

关 键 词：前列腺增生 经尿道前列腺切除术 镇痛 病人控制 硬膜外自控镇痛(PCEA) 经尿道前列腺电切汽化术 膀胱痉挛性疼痛 术后镇痛效果 防治 硬膜外导管 视觉模拟评分 留置尿管时间 TUVP 

分 类 号：R614[医药卫生—麻醉学]