中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
26期
31-33
,共3页
前列腺增生%手术后并发症%药物疗法%不稳定膀胱
前列腺增生%手術後併髮癥%藥物療法%不穩定膀胱
전렬선증생%수술후병발증%약물요법%불은정방광
Prostatic hyperplasia%Postoperative complications%Drug therapy%Unstable bladder
目的 探讨良性前列腺增生(BPH)患者行经尿道前列腺切除术(TURP)后发生不稳定膀胱(USB)的有效防治方法.方法 选择拟在硬膜外麻醉下行TURP的BPH患者90例,随机分为试验组、对照一组和对照二组,每组各30例.试验组术后给予托特罗定联合双氯芬酸钠利多卡因;对照一组术后单纯给予托特罗定;对照二组术后单纯给予双氯芬酸钠利多卡因.观察试验组、对照一组和对照二组术后USB发生的次数与持续时间.结果 试验组术后发生USB3例(10.0%),均为I度;对照一组术后发生USB14例(46.7%),其中Ⅰ度8例、Ⅱ度5例、Ⅲ度1例;对照二组术后发生USB16例(53.3%),其中Ⅰ度8例、Ⅱ度6例、Ⅲ度1例、Ⅳ度1例.试验组与对照一组、对照二组USB发生率比较差异均有统计学意义(P＜0.01).结论 BPH患者行TURP术后应用托特罗定联合双氯芬酸钠利多卡因防治USB发生疗效确切,方法简便,可推广应用.
目的 探討良性前列腺增生(BPH)患者行經尿道前列腺切除術(TURP)後髮生不穩定膀胱(USB)的有效防治方法.方法 選擇擬在硬膜外痳醉下行TURP的BPH患者90例,隨機分為試驗組、對照一組和對照二組,每組各30例.試驗組術後給予託特囉定聯閤雙氯芬痠鈉利多卡因;對照一組術後單純給予託特囉定;對照二組術後單純給予雙氯芬痠鈉利多卡因.觀察試驗組、對照一組和對照二組術後USB髮生的次數與持續時間.結果 試驗組術後髮生USB3例(10.0%),均為I度;對照一組術後髮生USB14例(46.7%),其中Ⅰ度8例、Ⅱ度5例、Ⅲ度1例;對照二組術後髮生USB16例(53.3%),其中Ⅰ度8例、Ⅱ度6例、Ⅲ度1例、Ⅳ度1例.試驗組與對照一組、對照二組USB髮生率比較差異均有統計學意義(P＜0.01).結論 BPH患者行TURP術後應用託特囉定聯閤雙氯芬痠鈉利多卡因防治USB髮生療效確切,方法簡便,可推廣應用.
목적 탐토량성전렬선증생(BPH)환자행경뇨도전렬선절제술(TURP)후발생불은정방광(USB)적유효방치방법.방법 선택의재경막외마취하행TURP적BPH환자90례,수궤분위시험조、대조일조화대조이조,매조각30례.시험조술후급여탁특라정연합쌍록분산납리다잡인;대조일조술후단순급여탁특라정;대조이조술후단순급여쌍록분산납리다잡인.관찰시험조、대조일조화대조이조술후USB발생적차수여지속시간.결과 시험조술후발생USB3례(10.0%),균위I도;대조일조술후발생USB14례(46.7%),기중Ⅰ도8례、Ⅱ도5례、Ⅲ도1례;대조이조술후발생USB16례(53.3%),기중Ⅰ도8례、Ⅱ도6례、Ⅲ도1례、Ⅳ도1례.시험조여대조일조、대조이조USB발생솔비교차이균유통계학의의(P＜0.01).결론 BPH환자행TURP술후응용탁특라정연합쌍록분산납리다잡인방치USB발생료효학절,방법간편,가추엄응용.
Objective To explore the effective method of the prevention and cure of unstable bladder after transurethral resection of prostate(TURP).Methods Ninety patients with benign prostatic hyperplasia(BPH)undergoing TURP under epidural anesthesia were randomly divided into 3 groups(with 30 patients in each group):treatment group,control group I and control group II.Tolterodine combined with diciofenac sodium/lidecaine hydrechloride injection were used after operation in treatment group.Control group I was only given tolterodine,and control group II was only given diclofenac sodium/lidocaine hydrochloride injection.Observed the incidence times and continuous time of unstable bladder after operation in three groups.Results Three cases(10.0%)happened to unstable bladder in treatment group and they were I degree,14 cases(46.7%)happened to unstable bladder in control group I,8 cases were I degree,5 cases were II degree,1 case was III degree;16 cases(53.3%)happened to unstable bladder in control group II,8 cases were I degree,6 cases were II degree,1 case was III degree,1 case was IV degree.There was obvious significance either between treatment group and control group I(P = 0.003)or between treatment group and control group II(P = 0.001).Conclusion Tolterodine combined with diclofenac sodium/ lidocaine hydrochloride injection have obvious effect on preventing the incidence of unstable bladder after TURP,it is easy to perform and can be used widely.
