摘要
目的 探讨用耳穴贴压预防前列腺良性增生患者行经尿道前列腺切除术后并发症的效果.方法 采用目的抽样法选取2015年1月—2016年12月在江苏省南通市海安县中医院外科住院的经尿道前列腺切除术的良性前列腺增生患者120例,采用随机数字法分成对照组和观察组,每组60例.对照组予常规护理,观察组在常规护理的基础上增加耳穴贴压.比较两组患者便秘的发生率及睡眠情况,采用疼痛数字量表（NRS）评价两组患者的疼痛情况.结果 观察组便秘发生率11.67%,对照组便秘发生率36.67%,两组比较差异有统计学意义（χ2=10.23,P〈0.01）;观察组术后NRS为（2.11±1.21）分,对照组术后NRS为（2.75±1.45）分,两组比较差异有统计学意义（t=2.63,P〈0.05）;观察组入睡时间（33.14± 15.62） min、睡眠时间（6.76±2.43） h、觉醒次数（2.46±1.78）次,对照组入睡时间（41.22±20.13） min、睡眠时间（5.12±3.44） h、觉醒次数（3.31±2.14）次,两组比较差异有统计学意义（t值分别为2.46、3.02、2.37;P〈0.05）.结论 采用耳穴贴压能降低经尿道前列腺切除术后患者便秘的发生率,能减轻患者疼痛,提高患者睡眠质量.
Objective To explore the effects of auricular point sticking on complication prevention in benign prostate hyperplasia （BPH） patients undergoing transurethral resection of prostate （TURP）. Methods From January 2015 to December 2016, a total of 120 BPH inpatients were selected who undergoing TURP in the Surgery Department of Hai＇an Chinese Medicine Hospital of Nantong City of Jiangsu Province by purposive sampling. All of the patients were divided into the control group and the observation group by random digit, 60 cases in each group. Patients in the control group accepted conventional nursing. On this basis, patients in the observation group were treated with auricular point sticking. The incidence of astriction, sleeping and pain with the numerical rating scale （NRS） of patients in two groups were compared. Results The incidence of astriction of patients was 11.67% in the observation group and 36.67% in the control group with a significant difference （χ2=10.23, P〈0.01）. The score of NRS of patients after surgery was （2.11±1.21） in the observation group and （2.75±1.45） in the control group with a significant difference （t=2.63, P〈0.05）. The time of falling asleep, hour of sleep, number of wake after sleep onset of patients was （33.14±15.62） min, （6.76±2.43） h and （2.46±1.78） respectively in the observation group and （41.22±20.13） min, （5.12±3.44） h and （3.31±2.14） in the control group with significant differences （t=2.46, 3.02, 2.37; P〈 0.05）. Conclusions Auricular point sticking can reduce the incidence of astriction of patients with TURP, alleviates patients＇ pain and improve patients＇ sleep quality.
作者
于德兰
刘晓燕
郁文琴
刘丽红
Yu Delan;Liu Xiaoyan;Yu Wenqin;Liu Lihong(Surgery Department, Hai＇an Chinese Medicine Hospital of Nantong City, Jiangsu Province, Nantong 226600, Chin)
出处
《中华现代护理杂志》
2018年第10期1187-1190,共4页
Chinese Journal of Modern Nursing
基金
南通市市级科技计划项目（qyz15048）
关键词
经尿道前列腺切除术
并发症
耳穴贴压
Transurethral resection of prostate
Complications
Auricular point sticking
