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目的 探讨防治前列腺术后膀胱痉挛性疼痛的理想方法。方法 耻骨上前列腺切除术100例,随机分成两组治疗术后膀胱痉挛性疼痛,硬膜外注射曲马多组50例,肌注杜冷丁组50例。结果 硬膜外注射曲马多组疗效明显优于肌注杜冷丁组,且生理干扰小、毒副作用少,给药方便。结论 硬膜外注射曲马多是一种防治前列腺术后膀胱痉挛性疼痛的理想方法。
Objective To explore the ideal method for prevention and treatment of bladder spastic pain after prostatectomy. Methods One hundred cases of suprapubic prostatectomy were randomly divided into two groups: postoperative bladder spasm pain, epidural injection of tramadol in 50 cases and intramuscular injection of pethidine in 50 cases. Results Tramadol epidural injection group was significantly better than intramuscular injection of pethidine group, and physiological disturbance, less side effects, convenient administration. Conclusion Epidural tramadol is an ideal method to prevent bladder spasm pain after prostatectomy.