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目的探讨硬膜外镇痛用于经尿道前列腺等离子体气化电切术术后镇痛的效果。方法选择经尿道前列腺等离子体气化电切术患者90例,随机分为两组,A组41例,术后未行硬膜外镇痛。B组49例,术后行硬膜外镇痛。结果 A组患者回病房后,1~2 h后均出现不同程度下腹痛,尿意和肛门坠胀感明显,膀胱痉挛疼痛,患者血压波动大,呼吸浅快,血氧饱和度低于术前(P<0.05)B组术后下腹无痛,膀胱痉挛消失,1例患者术后尿管被血块堵塞膀胱冲洗液集聚导致膀胱胀大引起疼痛,更换尿管后,疼痛消失,术后患者血压、心率、呼吸、血氧饱和度(SpO2)与术前相近(P>0.05)。结论硬膜外镇痛用于经尿道前列腺等离子体气化电切术的患者能起到明显的解痉镇痛作用,减轻术后应激反应及并发症。
Objective To investigate the effect of epidural analgesia on the postoperative analgesia of transurethral resection of prostate gastrectomy. Methods Ninety patients undergoing transurethral resection of prostate gasification and electrosurgical resection were randomly divided into two groups. Group A (n = 41) had no postoperative epidural analgesia. B group 49 cases, postoperative epidural analgesia. Results Patients in group A returned to the ward 1 to 2 hours later with varying degrees of abdominal pain, urine intestines and anal bulge were obvious, bladder spasm pain, patients with large fluctuations in blood pressure, shallow breathing, oxygen saturation lower than preoperative (P <0.05) In group B, the lower abdomen was painless and the bladder spasm disappeared. One patient was blocked by blood clots and accumulated in the bladder irrigating solution. The pain caused by swelling of the bladder was found in one patient. After the replacement of the catheter, the pain disappeared and the postoperative blood pressure, Heart rate, respiration, oxygen saturation (SpO2) and preoperative similar (P> 0.05). Conclusions Epidural analgesia can be used to relieve spasm and analgesia in patients undergoing transurethral resection of prostate gas plasmaisation and relieve postoperative stress response and complications.