膀胱冲洗液温度控制对改良前列腺剜切术后患者康复的影响

The Effect of Temperature Control of Bladder Irrigating Solution on the Rehabilitation of Patients after Improved Enucleation of Prostate

摘要: 目的：探讨和比较不同温度冲洗液对膀胱冲洗的效果，从护理角度分析影响“低压灌注下经尿道四区分割法等离子体前列腺剜切术(four-area division transurethral plasmakinetic enucleation of prostate, FPKEP)”后发生膀胱痉挛和出血的相关因素。方法：对2011年6月~2013年6月间行剜切术的119例患者进行随机分组，实验组60例，对照组59例。实验组给予接近人体生理体温(35℃ ± 2℃)的冲洗液，对照组给予室温(22℃ ± 2℃)的冲洗液，分别进行膀胱冲洗，观察记录两组患者术后膀胱冲洗时间、冲洗液量、膀胱痉挛发生次数、出血情况、留置尿管时间、住院天数以及护理满意度。结果：实验组膀胱冲洗时间、冲洗液量、膀胱痉挛发生次数、出血情况、留置尿管时间以及住院天数均低于对照组，而患者满意度实验组高于对照组，P < O.05差异有统计学意义。结论：膀胱冲洗液温度对术后膀胱痉挛和出血情况有直接影响。用接近人体生理体温(35℃ ± 2℃)的冲洗液对膀胱进行冲洗，可减少术后并发症,提高治疗效果及患者满意度。

Abstract: Objective: To evaluate the influence of rinse solution at different temperatures on bladder spasm and bleeding after the four-area division plasmakinetic enucleation of prostate under low-pres- sure perfusion. Methods: The 119 patients who underwent enucleation from June 2011 to 2013 were randomly assigned to receive irrigating solution at physiological temperature (35℃ ± 2℃) of 60 cases or to receive irrigating solution at room temperature (22℃ ± 2℃) of 59 cases. The indices, such as washing time, volume of the solution, convulsion, bleeding, indwelling catheter time, HOD, and nursing satisfaction were observed and recorded in both groups of patients. Results: The treatment parameters and adverse reactions of experimental group were lower than those of con-trol group, while patient satisfaction was much higher when compared with that of control group. The difference was statistically significant (p < 0.05). Conclusion: The temperature of irrigating fluid has a direct effect on postoperative bladder spasm and bleeding. Using irrigating solution at physiological temperature could obviously reduce complications and improve the clinical efficacy and patient satisfaction.