摘要
目的 探讨不同温度冲洗液对前列腺电切术（TURP）患者的影响。方法 回顾性分析2011年4月~2015年4月南充市中心医院收治的1100例良性前列腺增生并行TURP治疗的患者的临床资料,依据不同温度冲洗液进行分组,室温组（室温冲洗液）500例和等温组（等体温冲洗液）600例。观察两组患者冲洗时间、冲洗量、膀胱痉挛持续时间、膀胱冲洗液转清时间;观察两组患者手术前后尿液中红细胞计数、凝血指标;观察两组患者膀胱痉挛、寒颤、血块堵塞情况。结果 等温组良性前列腺增生患者冲洗时间、冲洗量、膀胱痉挛持续时间、膀胱冲洗液转清时间均低于室温组,差异均有统计学意义（P〈0.05）。两组患者术前尿液中红细胞计数、活化凝血酶时间（APTT）、凝血酶原时间（PT）、血小板计数（PLT）、血小板聚集率（Pagt）比较,差异均无统计学意义（P〉0.05）;室温组手术前后PT无明显变化,等温组手术前后APTT、PT、PLT、Pagt比较,差异均无统计学意义（P〉0.05）;术后两组尿液中红细胞计数均低于术前,室温组术后APTT高于术前,PLT、Pagt低于术前,等温组术后尿液中红细胞计数、APTT低于室温组,PLT、Pagt高于室温组,等温组良性前列腺增生患者膀胱痉挛、寒颤、血块堵塞发生率均低于室温组,差异均有统计学意义（P〈0.05）。结论 等体温冲洗液可以减少TURP患者膀胱出血,降低对凝血功能的影响和术后并发症的发生率,有利于患者术后恢复。
Objective To approach the influence of different temperature of flushing fluid on patients with transurethral resection of the prostate （TURP）. Methods Clinical data of 1100 patients with BPH and treated with TURP from April 2011 to April 2015 in Nanchong Central Hospital were retrospectively analyzed, they were divided into two groups by different temperature of flushing fluid, room temperature group （room temperature flushing fluid） 500 cases and equal temperature group （body temperature flushing fluid） 600 cases. The flushing time, flushing quantity, continue time of bladder spasm, time of bladder flushing fluid turned clear of patients in two groups were detected; the RBC in urine, coagulation indicator of patients in two groups before and after operation were detected; the cystospasm, chill, clot of patients in two groups were detected. Results The flushing time, flushing quantity, continue time of bladder spasm, time of bladder flushing fluid turned clear of the equal temperature group were lower than those of the room temperature group, the differences were statistical significance （P 〈 0.05）. The RBC in urine, APTT, PT, PLT, Pagt of two groups had no statistically significant difference （P 〉 0.05）; the PT of the room temperature group before and after operation had no significant change, the AP＇IT, PT, PLT, Pagt of the equal temperature group before and after operation had no statistically significant difference （P 〉 0.05）. The RBC in two groups after operation were lower than before operation, the APTr of the room temperature group after operation was higher than before operation, and PLT, Pagt were lower than before operation; the RBC in urine, APTT of the equal temperature group after operation were lower than the room temperature group, PLT, Pagt were higher than the room temperature group, the cystospasm, chill, clot of the equal temperature group were lower than the room temperature group, the differences were statistical significance （P 〈 0.05）. Conclusion The
出处
《中国医药导报》
CAS
2016年第27期99-102,共4页
China Medical Herald
