Application of intermittent epidural bolus without background infusion in postoperative analgesia of transurethral resection of prostate
10.3760/cma.j.issn.1673-4904.2019.07.013
- VernacularTitle:硬膜外无背景剂量给药模式在经尿道前列腺电切术后的镇痛效果
- Author:
Shiyuan HE
1
;
Ziyan ZHANG
;
Xiuying WU
Author Information
1. 中国医科大学附属盛京医院麻醉科
- Keywords:
Analgesia,epidural;
Transurethral resection of prostate;
Analgesia,patient-controlled
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(7):625-628
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect and safety of intermittent epidural bolus without background infusion combined with patient-control epidural analgesia (PCEA) in transurethral resection of prostate. Methods Sixty patients with benign prostatic hyperplasia in Shengjing Hospital of China Medical University from January to August 2018 were selected, and the patients were treated with transurethral (plasma) resection of prostate. The patients were divided into test group and control group according to the random digits table method with 30 cases each. Postoperative epidural analgesia of 2 groups used the electronic analgesia pump. The analgesia mode of test group was intermittent epidural bolus without background infusion combined with PCEA, and the analgesia mode of control group was continuous infusion combined with PCEA. The visual analogue score (VAS), Ramsay sedation score, improved Bromage score, adverse reaction and satisfaction of patients end of surgery to 48 h after operation were compared between 2 groups. Results There were no statistical difference in VAS and Ramsay sedation score between 2 groups (P＞0.05). The improved Bromage score 6 h after operation in test group was significantly lower than that in control group: 0 (0, 0) score vs. 0.5 (0, 1.0) scores, there was statistical difference (P＜0.05). The dosage of electronic analgesic pump 48 h after operation in test group was significantly lower than that in control group: (159.73 ± 22.58) ml vs. 250 ml, there was statistical difference (P＜0.01). The patients in 2 groups were satisfied, and there was no obvious dissatisfaction. There was no statistical difference in incidence of adverse reaction between 2 groups (P＞0.05). Conclusions In the postoperative analgesia of transurethral (plasma) resection of prostate, intermittent epidural bolus without background infusion combined with PCEA can decrease the drug dosage without the decline of analgesia.
