PCEA防治术后膀胱痉挛痛  

The efficacy in alleviating pain of cystospasm with PCEA

作　　者：金鑫[1] 陈培莲[1] 郭乃良[1] 

机构地区：[1]复旦大学附属华东医院麻醉科,上海200040

出　　处：《老年医学与保健》2007年第1期43-44,共2页Geriatrics & Health Care

摘　　要：目的前列腺摘除术、全膀胱及部分膀胱切除术后需留置导尿管,膀胱需持续冲洗以免血块堵塞尿道,由此而产生的膀胱痉挛痛会持续数天。本研究意在观察PCEA在缓解伤口痛时对减轻术后膀胱痉挛痛的疗效。方法≥65岁行前列腺摘除术、部分膀胱切除术,以及膀胱镜下膀胱肿瘤电切术的病人随机分为两组:PCEA治疗组;术后不使用PCEA的对照组。结果两组病例术后疼痛的评分差异有统计学意义。结论应用PCEA可有效地减少和减轻术后膀胱痉挛痛。Objective There are many operations of urinary system in the elderly. After the operations,we must catheter a demeure for douching bladder. The pain of eystospasm distresses the patients.We used PCEA to avoid the pain of the eystospasm. Methods The patients were divided into two groups： Group I for PCEA; Group II for control group; no PCEA after operation. Results The difference of the score between two groups had statistical significance. Conclusions PCEA can decrease the pain of the eystospasm efficiently, safe and economy.

关 键 词：膀胱疾病 痉挛 镇痛 硬膜外 疼痛 

分 类 号：R614[医药卫生—麻醉学]