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目的 :比较硬膜外自控镇痛 (PCEA)和肌注杜冷丁 5 0 mg镇痛对前列腺切除术后的镇痛效果。方法 :10 0例择期前列腺摘除术患者 ,随机分 A、B两组 ,A组 5 0例为 PCEA组 ,B组 5 0例肌注杜冷丁 5 0 mg。结果 :A组前列腺术后镇痛的评分及控制膀胱痉挛的发生均明显优于 B组 ,副作用发生少。结论 :前列腺术后 PCEA镇痛 ,具有镇痛安全 ,效果确切 ,有利于术后病人的恢复等优点。
OBJECTIVE: To compare the analgesic effect of PCEA and intramuscular injection of dolantin 50 mg on post-prostatectomy. Methods: One hundred and ten patients undergoing elective prostatectomy were randomly divided into two groups: A group (50 cases), PCEA group (group B), intraperitoneal injection of dolantin (50 mg). Results: The scores of postoperative analgesia and the control of bladder spasm in group A were significantly better than those in group B, with fewer side effects. Conclusion: PCEA analgesia after prostatectomy has the advantages of analgesic safety, exact effect and favorable postoperative recovery.