摘要
目的:探讨经尿道前列腺等离子体双极电切术(PKRP)后引起膀胱痉挛发生的相关因素及护理干预措施。方法:选择我科收治的PKRP患者162例随机分成实验组和对照组,术前两组进行常规相同的治疗和护理,实验组在此基础上加强心理护理,特别注重术后管道的护理,冲洗液温度和速度调节,出血和泌尿系感染的预防,有效镇痛等护理关键环节的控制,提供针对性强的阶段性健康指导。结果:对照组与实验组在膀胱痉挛、继发性出血、泌尿系感染发生率两组差异有统计学意义(P<0.05)。结论:多种因素可诱发膀胱痉挛的发生,及时、有效的护理干预,能达到预防、减轻、缓解、控制膀胱痉挛的发作,从而有效降低并发症。
Objective：To analyze the relative factors leading to postoperative bladder spasm in the patients with benign prostatic hyperplasia after transurethral resection of prostate with plasmakinetic energy （PKRP） and to put forward the corresponding intervention measures.Methods：162 patients diagnosed benign prostatic hyperplasia（BPH） were divided into experimented group and controlled group randomly.Before operation, both two groups were accepted the same treatments and nursing.In the experiment group,we specially strengthened the mental state nursing,piping nursing and paid attention to the temperature,speed regulation of the flush liquid.The prevention of infection and bleeding, effective analgesia,etc.,were also paid attention to. The position-relevant and staged healthy instructions were provided.Results：In the experimental group, the occurrence rate of bladder spasm, bleeding, infection of urinary tract were all less than those of the control group（P0.05）.Conclusion：Many factors may lead to bladder spasm, but timing and effective nursing intervention can prevent, alleviate and control the occurrence of bladder spasm,then successfully lower the complications.
出处
《现代医药卫生》
2010年第20期3076-3078,共3页
Journal of Modern Medicine & Health
