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PCEA技术治疗尿道下裂术后膀胱痉挛性疼痛
引用本文:廖惠花,吴舟,杨柳青,莫坚.PCEA技术治疗尿道下裂术后膀胱痉挛性疼痛[J].河北医学,2003,9(9):807-809.
作者姓名:廖惠花  吴舟  杨柳青  莫坚
作者单位:广东医学院附属医院泌尿外科,广东,湛江,524001
摘    要:目的:报告在尿道下裂尿道成形术后应用硬膜外自控镇痛术(PCEA)治疗膀胱痉挛性疼痛的疗效。方法:40例尿道下裂术后患者随机分为两组,治疗组采用PCEA。观察两组VAS测痛评分、膀胱痉挛次数,持续时间、尿瘘发生率等。结果:治疗组较对照组VAS评分、膀胱痉挛次数、持续时间、尿瘘发生率等明显减少,治疗组未出现硬膜外并发症。结论:PCEA技术能有效防治尿道下裂术后膀胱痉挛性疼痛,值得临床推广。

关 键 词:硬膜外自控镇痛术  尿道下裂  膀胱痉挛
文章编号:1006-6233(2003)09-0807-03

Patient controlled epidural analgesia for bladder spastic pain in Post-operation of hypospadias
LIAO Hui-hua,WU Zhou,YANG Liu-qing,MO Jian.Patient controlled epidural analgesia for bladder spastic pain in Post-operation of hypospadias[J].Hebei Medicine,2003,9(9):807-809.
Authors:LIAO Hui-hua  WU Zhou  YANG Liu-qing  MO Jian
Abstract:Objective: To investigate the analgesic effect for bladder spasm with patient controlled epidural analgesia(PCEA)after urethroplasty of hypospadias. Methods: Forty post urethroplasty patients, who were randomly divided into two groups: PCEA group and control, 20 cases for each group, and the VAS scores, spastic frequency, continued times and occurring rate of urethral fistula were observed after operation. Results: VAS scores, spastic frequency, continued times and occurring rate of urethral fistula were decreased apparently in PCEA group compared with control. Complications of epidural analgesia were not happened. Conclusions: PCEA has excellent analgesic effect for baldder spasm after urethropalsty. It worth to extent.
Keywords:Patient controlled epidaral analgesia  Urethroplasty of hypospadias  Bladder spastic  
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