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目的 探讨前列腺摘除术后膀胱痉挛性收缩的防治。方法 术毕将吗啡 2mg用生理盐水 5m1稀释后注入硬脊膜外腔 ,术后第二天开始口服泌尿灵 0 .2g ,每日 3次 ,心痛定 1 0mg ,每日 3次 ,持续 3～ 5d。结果 1 4 5例术后 2 4h均无明显切口疼痛 ,无膀胱痉挛性收缩 ,术后第 2d1 5例出现膀胱痉挛收缩 ,1 30例未出现膀胱痉挛性收缩。结论 术后硬膜外镇痛及口服泌尿灵、心痛定能有效防治膀胱痉挛性收缩
Objective To investigate the prevention and treatment of bladder spastic contraction after prostatectomy. Methods After morphine 2mg morphine 5ml diluted with saline into the epidural space, the second day after oral administration of oral 0. 2g, 3 times a day, nifedipine 10mg, 3 times a day for 3 ~ 5d. Results There were no significant incisional pain and no bladder spasm contraction in 145 cases at 24 hours after operation. Contractility of bladder spasm was found in 5 cases 2 days after operation, and spasmodic contractions did not occur in 130 cases. Conclusions Postoperative epidural analgesia and oral administration of urinary and heartache can effectively prevent and treat bladder spasmodic contractions