舒芬太尼术后镇痛在经尿道前列腺切除术的应用  

Application of Continuous Epidural Injection Analgesia following Transurethral Prostatectomymeng

作　　者：张纵横 孟岚[2] 时飞[2] 

机构地区：[1]胶南市经济技术开发区医院,266400 [2]青岛市市立医院

出　　处：《青岛医药卫生》2006年第1期12-13,共2页Qingdao Medical Journal

摘　　要：目的探讨经尿道前列腺电切除术后,不同镇痛方法的临床效果。方法选取经尿道前列腺切除病人90例,随机分成3组,每组30例。Ⅰ、Ⅱ组术后以硬膜外持续注药(CEIA)法镇痛,Ⅲ组术后以肌注哌替啶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、Ⅱ组比Ⅲ组膀胱痉挛性疼痛次数减少,持续时间短, 冲洗膀胱时间缩短,副作用少,Ⅰ、Ⅱ组无明显差异,Ⅰ、Ⅱ组与Ⅲ组差异明显。结论 CEIA对经尿道前列腺电切除后病人镇痛效果良好,副作用少,有利术后恢复。Objective To evaluate the clinic effectes of different pain-relief methods following transurethral prostatectomymeng. Methods 90 cases of patients transurethral prostatectomymeng were divided into three groups randomly, 30 cases of each group Ⅰ , Ⅱ accepted continuous epidural infusion analgesia （CEIA） ,and 30 cases of group Ⅲ accepted injection of dolantin 50mg to relief pain,evaluating the pain-relief effects by using VAS score, contrasting the lasting hours and liquid quantity of rinse urinary bladder contrasting the complication of operation. Results Group Ⅰ , Ⅱ are superior to group Ⅲ with the times of bladder spasna and duration, lasting hours of rinse bladder and complication, and there is a significant difference between them. Conclusion The analgesia effects of CEIA following transurethral prostateetornymeng are very well,CEIA reduce the side effects of the transurethral prostatectomymeng and is propition to resume after operations.

关 键 词：经尿道前列腺切除术 镇痛 硬膜外 吗啡 舒芬太尼 杜冷丁 

分 类 号：R697.32[医药卫生—泌尿科学] R614.42[医药卫生—外科学]