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目的 :探讨前列腺摘除术后不同的硬膜外镇痛方案的临床效果。方法 :选择经膀胱前列腺摘除术患者 4 0例 ,应用 PCEA,随机分为两组 , 组以 0 .2 5%布比卡因 +芬太尼 2 ug/ ml; 组以吗啡 4 0 ug/ ml均用 2 ml/ h速度注入 ,观察各组镇痛 VAS评分 ;不稳定性膀胱症状出现率。结果 : 组VAS评分镇痛有效率 85% ; 组 VAS评分镇痛有效率 90 % ,两组无显著差异 (P>0 .0 5) ; 组不稳定性膀胱症状出现率 55% ; 组不稳定性 ,膀胱症状出现率 10 % ,两组比较有显著差异 (P<0 .0 5)。结论 :PCEA应用芬太尼布比卡因混合液和吗啡对术后缓解加疼痛有相当的临床效果 ,但吗啡抑制术后不稳定性膀胱效果更为明显。
Objective: To investigate the clinical effects of different epidural analgesia programs after prostatectomy. Methods: Forty patients undergoing transurethral resection of the prostate were enrolled in this study. PCEA was randomly divided into 2 groups (0. 25% bupivacaine + fentanyl 2 ug / ml), morphine 40 ug / ml All patients were injected with 2 ml / h speed to observe the analgesic VAS score of each group. The incidence of unstable bladder symptoms was observed. Results: The effective rate of group VAS analgesia was 85%. Group VAS score was 90%. There was no significant difference between the two groups (P> 0.05). The incidence of unstable bladder symptoms was 55%. Group instability The incidence of bladder and bladder symptoms was 10%, there was significant difference between the two groups (P <0.05). CONCLUSION: PCEA combined with bupivacaine fentanyl and morphine has considerable clinical effect on postoperative pain relief and pain relief, but morphine inhibits postoperative instability bladder effect more obviously.