摘要
目的分析前列腺术后膀胱痉挛的高危因素,探讨临床护理措施。方法选择2016年1~12月在我院行经尿道前列腺电切术治疗前列腺增生患者162例,依照术后膀胱痉挛发生与否分为发生组(n=61)与未发生组(n=101),对比两组患者相关指标,分析膀胱痉挛发生的高危因素,针对性地制定临床护理措施。结果经分析,发生组患者焦虑评分(SAS)≥50分、低顺应性膀胱和(或)不稳定膀胱、尿管气囊注水体积40 ml、冲洗液未加温占比均高于未发生组,差异有统计学意义(P<0.05);经Logistic多因素分析结果显示,SAS评分、低顺应性和/或不稳定膀胱、冲洗液加温、尿管气囊注水为高危因素(P<0.05)。结论前列腺术后膀胱痉挛的高危因素较多,临床应针对高危因素实施护理,促使患者尽早痊愈出院。
Objective To analyze the risk factors of bladder spasm after prostatectomy,explore the clinical nursing mea- sures.Methods 162 patients with benign prostatic hyperplasia from January to December 2016 in our hospital under- went transurethral resection of the prostate,patients divided into happen group （n=61） and without group （n=101） ac- cording to with or without postoperative bladder spasm,related indicators were compared between two groups,analysis of risk factors of bladder spasm,to make the clinical nursing measures.Results After analysis,group SAS was more than 50 points,low compliance bladder or （and） unstable bladder,balloon catheter injection volume 40 ml,without washing liquid heating were higher than the proportion of without group,significant difference （P〈0.05）;muhivariate Logistic analysis showed that SAS score,low compliance and/or unstable bladder flush fluid heating, water balloon catheter was a risk factor （P〈0.05）.Conclusion The prostate surgery the risk factors of bladder spasm after more clinical nursing according to the risk factors,prompting patients as early as possible recovery.
出处
《中国当代医药》
2018年第5期179-181,共3页
China Modern Medicine
关键词
前列腺术
膀胱痉挛
高危因素
临床护理
Prostate operation
Bladder spasm
High risk factors
Clinical nursing
