PCEA和尼莫地平防治不稳定膀胱的疗效观察

目的：比较硬脊膜外腔自控镇痛术（PCEA）与尼莫地平防治良性前列腺增生（BPH）术后不稳定膀胱的疗效。方法：61例耻骨上经膀胱前列腺切除术后BPH患者，分为A组（PCEA治疗组）、B组（尼莫地平治疗组）、C组（对照组），观察并比较防治不稳定膀胱的疗效。结果：临床症状评分显示有效率A组92％、B组65％、C组21％，A组与C组各症状总评分差异有极显著性意义（P＜0.01)，B组与C组各症状总评分差异有极显著性意义（P＜0.01)，A组与B组各症状总评分差异有显著性意义（P＜0.01)，A组与B组各症状总评分差异有显著性意义（P＜0.05)。结论：PCEA和尼莫地平微泵治疗不稳定膀胱均有疗效，其中PCEA疗效较显著。

PCEA and nimodipine in the treatment of unstable bladder

Purpose:To compare the therapeutic effects of PCEA and nimodipine in the treatment of unstable bladder.Methods:61 patients were divided into three groups. Group A consisted of 25 patients, which were treated by PCEA. Group B consisted of 17 patients, which were treated by nimodipine i.v. with micro-pump. Group C consisted of 19 patients, which were treated by routine methods.Results:Symptomatic scores showed that the effective rates of these treatment in group A, B and C were 92%,65% and 21% respectively. There was significant difference between group A and C (P< 0.01), group B and C (P< 0.01), group A and B(P< 0.05), respectively.Conclusions:PCEA and micro-pump use of nimodipine were all effective treatment for unstable bladder. The efficacy of PCEA is better than that of nimodipine.