Ozgür E, Dagtekin O, Straub K, Engelmann U, Gerbershagen H J
Klinik und Poliklinik für Urologie, Universitätsklinikum Köln.
Urologe A. 2009 Oct;48(10):1182-8. doi: 10.1007/s00120-009-2039-8.
Epidural analgesia for postoperative pain treatment is favored, for example, within the scope of so-called fast-track surgery, especially abdominal surgery. To improve pain care for our urological patients, we examined the quality of postoperative pain therapy with and without epidural analgesia after radical prostatectomy. After the investigation was approved by the local ethics committee, patients were questioned in detail about the pain they experienced for 7 days after radical prostatectomy. For all 7 postoperative observation days, significantly less pain was measured for patients receiving epidural analgesia compared with patients without epidural analgesia. This could be shown for the average and strongest pain intensity at rest as well as for pain during mobilization. Patients with epidural analgesia were discharged, on average, 1 day earlier. After radical prostatectomy, postoperative pain therapy with epidural analgesia seems to offer advantages with regard to the quality of analgesia and the average length of hospital stay.
例如，在所谓的快速康复外科手术范围内，尤其是腹部手术中，硬膜外镇痛用于术后疼痛治疗备受青睐。为改善我们泌尿外科患者的疼痛护理，我们研究了根治性前列腺切除术后使用和不使用硬膜外镇痛的术后疼痛治疗质量。在当地伦理委员会批准该研究后，对患者进行了详细询问，了解他们在根治性前列腺切除术后7天内所经历的疼痛情况。在术后7天的所有观察日中，与未接受硬膜外镇痛的患者相比，接受硬膜外镇痛的患者疼痛程度明显较轻。这在静息时的平均和最强疼痛强度以及活动时的疼痛方面均得到证实。接受硬膜外镇痛的患者平均提前1天出院。根治性前列腺切除术后，硬膜外镇痛的术后疼痛治疗在镇痛质量和平均住院时间方面似乎具有优势。
