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目的 :探讨硬膜外自控镇痛 ( PCEA)治疗前列腺切除术后膀胱痉挛性疼痛的效果。方法 :将 1 1 8例前列腺切除术后患者随机分为两组 ,术后行 PCEA治疗的为实验组 ,术后每 6h肌肉注射杜冷丁 50 mg和 654 -2 1 0 mg的为对照组。结果 :实验组膀胱痉挛性疼痛的次数 ,每次持续的时间 ,发生率 ,膀胱冲洗停止的时间 ,术后出血量明显低于对照组 ( P<0 .0 1 )。两组心率 ,平均动脉压 ,血氧饱和度 ,恢复肛门排气时间及术后并发症等无显著差异( P>0 .0 5)。结论 :PCEA治疗前列腺切除术后膀胱痉挛性疼痛效果平稳良好
Objective: To investigate the effect of epidural controlled analgesia (PCEA) on bladder spastic pain after prostatectomy. Methods: One hundred and eighty-eight cases of prostatectomy were randomly divided into two groups. The patients in the PCEA group were treated with PCEA. The patients were given pethidine 50 mg and 654-2 10 mg intramuscularly every 6 hours after operation as the control group. Results: The number of bladder spasmodic pain, the duration of each treatment, the time of bladder flushing and the amount of postoperative bleeding in the experimental group were significantly lower than those in the control group (P <0.01). There were no significant differences in heart rate, mean arterial pressure, oxygen saturation, time to recover anal exhaust and postoperative complications (P> 0.05). Conclusions: PCEA has a good and stable bladder spasticity after prostatectomy