The Korean Journal of Pain
- 제11권2호
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- Pages.268-272
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- 1998
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
양성 전립선 비대증 환자의 술후 통증치료
The Postoperative Pain Control for the Benign Prostatic Hypertrophy: Continuous Epidural Pain Block versus Intravenous Patient-Controlled Analgesia
- Park, Sun-Gyoo (Department of Anesthesiology, Chung-Ang University College of Medicine) ;
- Kim, Jin-Yun (Department of Anesthesiology, Chung-Ang University College of Medicine) ;
- Rah, Eun-Gil (Department of Anesthesiology, Chung-Ang University College of Medicine)
- 발행 : 1998.10.10
초록
Background: Postoperative bleeding is a common complication in transurethral resection of prostate (TURP). Some patients become restless and combative after operation, particularly when in pain, producing bleeding from the prostatic bed. So many patients may be necessary to pain control for reduce bleeding. The purpose of this study is to compare recently used two Methods for post-operative analgesia. Methods: We studied 40 patients, ASA physical staus 1, 2, undergone TURP under general anesthesia. The patients divided into two groups: continuous epidural pain control group (I, n=20) received an epidural bolus of morphine 2 mg and 1% lidocaine 10 ml followed by a epidural 0.08% bupivacaine 40 ml and morphine 4.5 mg (basal infusion rate 0.5 ml/hr), intravenous patient-controlled analgesia (IV-PCA) group (II, n=20) received an intravenous bolus of fentanyl