硬脊膜外腔连接微量止痛泵预防前列腺切除术后膀胱痉挛

目的　探讨前列腺切除术后疼痛、膀胱痉挛的防治方法。方法　 12 8例前列腺增生症病人 ,术后随机分为两组 :A组 6 8例 ,硬脊膜外腔导管连接止痛泵 ,持续注入吗啡、布比卡因、氟哌啶混合液 1ml/h ;B组 6 0例 ,按常规方法解痉止痛治疗 ,观察治疗效果。结果　A组在止痛效果及控制膀胱痉挛方面明显优于B组 (P <0 . 0 1) ,膀胱冲洗时间短于B组 (P <0. 0 1) ,肠胀气、进食时间等无明显差异 (P >0 . 0 5 )。结论　硬脊膜外腔连接微量止痛泵能有效预防前列腺切除术后疼痛、膀胱痉挛的发生 ,可作为一种常用方法。

A randomized comparison of clinical efficacy of PCEA with routine analgesia for post-prostatectomy pain

Objective: To assess the clinical efficacy of extradural analgesia (PCEA) for post-prostatectomy pain. Methods: 128 patients with hyperplasia of prostate undergone prostatectomy were randomly divided into two groups three days after the operation. 1 ml/h mixtures of morphine, bupivacaine and droperidol were constantly pumped into the epidural cavum to relieve pain in group A of 68 cases and in group B of 60 cases pethidine was injected to alleviate pain. Results: Analgesia efficacy and control of cystospasm in group A are superior to that in group B(P<0.01),the span of bladder lavage is shorter than that in group B(P<0.01), intestinal inflation and alimentation time were similar in two groups(P>0.05). Conclusion: Extradural analgesia is an effective, convenient and safe analgesia measure for post-prostatectomy pain.