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目的:探讨耻骨后间隙持续镇痛(continous Retziuscavity analgesia,CRA)在TURP术后镇痛中的作用机理、可行性及安全性。方法:对50例TURP患者术后采用CRA,观察术后膀胱痉挛主观症状(VAS)评分、膀胱持续冲洗时间、呼吸抑制、恶心、呕吐、瘙痒等不良反应等指标。结果:50例TURP术后采用CRA疗效确切,镇痛组患者术后6 h、12 h、24 h、48 h VAS评分分别为(0.70±0.62)、(1.02±0.65)、(0.67±0.46)、(0.52±0.43)分,无一例术后出血而再次手术;术后膀胱冲洗时间13～40 h;术后留置导尿时间3～7天;术后呼吸及血压无明显变化。结论:CRA是一种新的TURP术后镇痛方式,对TURP术后镇痛疗效确切,操作安全简单,术后并发症少,值得在临床上推广应用。
Objective: To investigate the mechanism, feasibility and safety of continous analgesia after continual analgesia (TURP). Methods: Fifty patients with TURP were treated with CRA. The subjective symptom of bladder spasm (VAS) score, duration of continuous bladder irrigation, respiratory depression, nausea, vomiting and pruritus were observed. Results: Fifty patients with CRA treated with TURP had definite effect. The VAS scores of the analgesic group at 6 h, 12 h, 24 h and 48 h after operation were (0.70 ± 0.62), (1.02 ± 0.65), (0.67 ± 0.46) , (0.52 ± 0.43) points, no case of postoperative hemorrhage and reoperation; postoperative bladder irrigation time 13 ~ 40 h; postoperative indwelling catheterization time of 3 to 7 days; postoperative respiration and blood pressure no significant change. Conclusion: CRA is a new postoperative TURP method of postoperative analgesia. It is effective in postoperative TURP analgesia, safe and easy to operate, and has few postoperative complications. It is worth to be popularized clinically.