经尿道前列腺电切术后自控镇痛泵的应用  

Application of Patient-Controlled Epidural Analgesic Pump After Transurethral Prostatic Resection

作　　者：李维[1] 夏中元[1] 孟庆涛[1] 阮远[2] 余伟民[2] 饶婷[2] 

机构地区：[1]武汉大学人民医院麻醉科,湖北武汉430060 [2]武汉大学人民医院泌尿外科,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2013年第6期943-945,共3页Medical Journal of Wuhan University

摘　　要：目的:探讨自控硬膜外镇痛技术(PCEA)在前列腺电切(TURP)术后应用的临床效果。方法:选择良性前列腺增生症(BPH)行TURP术的103例患者,49例术后使用PCEA,作为实验组(自控镇痛组),另外54例术后不使用PCEA,作为对照组;比较两组术后疼痛程度、膀胱痉挛发生和膀胱冲洗时间等情况。结果:自控镇痛组在疼痛程度、膀胱痉挛发生和膀胱冲洗时间的比较上均好于对照组,且存在显著性差异(P<0.001)。结论:PCEA技术应用于TURP术后可以有效的降低相关并发症的发生。Objective： To evaluate the clinical effect of patient-controlled epidural analgesic pump （PCEA） on benign prostatic hyperplasia patients after transurethral prostatic resection （TURP）. Methods： A total of 103 benign prostatic hyperplasia （BPH） cases underwent TURP were divided into PCEA group （n=49） and control group （n=54）. And then, the degree of postoperative pain and cystospasm, and bladder irrigation time were compared between the two groups. Results： Compared with that respectively in control group, the degree of postoperative pain and cysto- spasm, and bladder irrigation time in PCEA group were less（P〈0. 001）. Conclusion： PCEA ap- plied in post-TURP patients can effectively relieve the pain and reduce related complications.

关 键 词：自控硬膜外镇痛技术 前列腺电切术 良性前列腺增生 膀胱痉挛 

分 类 号：R614.42[医药卫生—麻醉学]