【摘要】 目的 :报告在尿道下裂尿道成形术后应用硬膜外自控镇痛术 (PCEA)治疗膀胱痉挛性疼痛的疗效。方法 :4 0例尿道下裂术后患者随机分为两组 ,治疗组采用PCEA。观察两组VAS测痛评分、膀胱痉挛次数 ,持续时间、尿瘘发生率等。结果 :治疗组较对照组VAS评分、膀胱痉挛次数、持续时间、尿瘘发生率等明显减少 ,治疗组未出现硬膜外并发症。结论 :PCEA技术能有效防治尿道下裂术后膀胱痉挛性疼痛 ,值得临床推广。更多还原

【Abstract】 Objective: To investigate the analgesic effect for bladder spasm with patient controlled epidural analgesia(PCEA)after urethroplasty of hypospadias. Methods: Forty post urethroplasty patients, who were randomly divided into two groups: PCEA group and control, 20 cases for each group, and the VAS scores, spastic frequency, continued times and occurring rate of urethral fistula were observed after operation. Results: VAS scores, spastic frequency, continued times and occurring rate of urethral fistula were decreased apparently in PCEA group compared with control. Complications of epidural analgesia were not happened. Conclusions: PCEA has excellent analgesic effect for baldder spasm after urethropalsty. It worth to extent.更多还原