小剂量舒芬太尼鞘内预注联合PCEA用于前列腺汽化电切术后镇痛

发布时间：2018-01-20 19:23

本文关键词： 舒芬太尼注射脊髓经尿道前列腺切除术术后镇痛　出处：《重庆医学》2015年10期 　论文类型：期刊论文

【摘要】：目的观察小剂量舒芬太尼鞘内预注联合术后自控硬膜外镇痛(PCEA)用于经尿道前列腺汽化电切术(TURP)术后镇痛的疗效。方法将TURP治疗的良性前列腺增生症(BPH)患者90例,分为A、B两组(n=45)。两组均于L3~4行腰麻硬膜外联合麻醉,A组鞘内注入0.75%布比卡因1.60mL加50%葡萄糖0.10mL;B组在A组基础上加舒芬太尼5μg。观察术后2、8、16、24、48h各时间点视觉模拟评分(VAS)和各时间段镇痛药液消耗量,并评价患者镇痛总体满意度及镇痛相关不良反应。结果 B组VAS评分在术后8、16、24、48h与A组比较,差异有统计学意义(P0.05);B组药液消耗量在术后2~8h、8~16h、16~24h3个时间段与A组比较,差异有统计学意义(P0.05);镇痛总体满意度B组优于A组,差异有统计学意义(P0.05);两组不良反应比较,差异无统计学意义(P0.05)。结论小剂量舒芬太尼鞘内预注联合术后PCEA用于TURP术后镇痛,具有镇痛效果好、镇痛总体满意度高等优点。
[Abstract]:Objective to observe the application of low-dose sufentanil intrathecal preinjection combined with postoperative patient-controlled epidural analgesia (PCEA) for transurethral vaporization of the prostate (TURP). Methods 90 patients with benign prostatic hyperplasia were treated with TURP. Two groups were divided into two groups: group A and group A were given intrathecal injection of 0.75% bupivacaine (1.60 mL) plus 50% glucose (0.10 mL). Group B added sufentanil 5 渭 g on the basis of group A. the visual analogue scores (VASs) and the consumption of analgesics were observed at each time point and 48 hours after operation. Results the VAS score of group B was significantly higher than that of group A at 816 ~ 24 hours after operation (P 0.05). The consumption of liquid in group B was significantly higher than that in group A (P 0.05) in 3 time periods of 2 hours, 8 hours, 8 hours, 16 hours and 24 hours after operation, and there was significant difference between group B and group A (P 0.05). The total satisfaction of analgesia in group B was better than that in group A, and the difference was statistically significant (P 0.05). Conclusion low dose sufentanil intrathecal injection combined with postoperative PCEA for postoperative analgesia after TURP has good analgesic effect. The overall satisfaction of analgesia is high.
【作者单位】：陕西省宝鸡市第二人民医院麻醉科;
【分类号】：R614.4
【正文快照】： 良性前列腺增生症(benign prostatic hyperplasia,BPH))是老年男性常见病、多发病,导致老年人生活质量下降,严重时甚至危及生命。临床统计表明,年龄在40~79岁,BPH的发学意义(P0.05),见表2。病率约为50%,其较高的发病率,已成为危害老年男性健康的表1两组患者一般情况比较(x

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