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
DOI: 10.12677/NS.2015.42003, PDF, HTML, XML, 下载: 2,080  浏览: 6,209  科研立项经费支持
作者: 梁玲玲, 孙琴琴, 张国飞:新疆医科大学第六附属医院,新疆 乌鲁木齐;张秀华:新疆医科大学第三附属医院,新疆 乌鲁木齐
关键词: 膀胱冲洗温度四分区剜切术护理Bladder Irrigating Temperature Four-Area Division Transurethral Plasmakinetic Enucleation of Prostate Nursing Quality
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.
文章引用:梁玲玲, 张秀华, 孙琴琴, 张国飞. 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[J]. 护理学, 2015, 4(2): 13-18. http://dx.doi.org/10.12677/NS.2015.42003

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