CAJ | 학술논문

目的:观察吗啡、布比卡因用于硬膜外自控镇痛(PCEA)在前列腺术后的镇痛效果。方法:21例前列腺切除患者术后以吗啡、布比卡因进行 PCEA治疗,取一般情况与 PCEA组类似的 24例前列腺患者术后行常规镇痛,术后以疼痛视觉模拟评分 (VAS) 间接评估镇痛,记录膀胱痉挛发生情况。结果:PCEA组术后 VAS 评分及控制膀胱痉挛的发生明显优于常规镇痛组。结论:吗啡、布比卡因通过 PCEA技术用于前列腺术后镇痛,效果确切、简单方便、用药量小、副作用少,有利于术后恢复。
목적:관찰마배、포비잡인용우경막외자공진통(PCEA)재전렬선술후적진통효과。방법:21례전렬선절제환자술후이마배、포비잡인진행 PCEA치료,취일반정황여 PCEA조유사적 24례전렬선환자술후행상규진통,술후이동통시각모의평분 (VAS) 간접평고진통,기록방광경련발생정황。결과:PCEA조술후 VAS 평분급공제방광경련적발생명현우우상규진통조。결론:마배、포비잡인통과 PCEA기술용우전렬선술후진통,효과학절、간단방편、용약량소、부작용소,유리우술후회복。
To observe the analgesic effects of morphine and bupivacaine for the patient controlled epidural analgesia (PCEA) after prostatectomy. Methods: 21 patients after receiving prostatectomy were treated with PCEA including morphine and bupivacaine, and 24 patients were treated with routine analgesia as control. The effects of analgesia with visual analogue scale (VAS) were evaluated indirectly, and episodes of bl adder spasm were recoreded. Results: The effects of PCEA on postoperative analgesia and controlling bladder spasm were much better than that of routine analgesia. Conclusion: Effects of morphine and bupivacaine used in PCEA for post-prostatectomy analgesia are confirmed adm inistration is slimple. Because of their dosage is smalller and side effects are fewer, this treating protocol is beneficial for the recovery of the patients re ceiving prostatectomy.