摘要
目的探究影响经尿道钬激光前列腺剜除术(HoLEP)术后排尿功能恢复的相关因素及对快速康复干预的分析。方法回顾性分析2018年10月至2019年10月,来我院行HoLEP的患者120例,按照术后排尿功能恢复时间,将≤2周的分为A组,共52例,>2周的分为B组,共68例,探究影响术后排尿功能恢复的相关因素,分析快速康复干预措施。另选取2019年10月至2020年3月来我院行HoLEP的患者62例,随机分成观察组及对照组,各31例,观察组采取快速康复干预,对照组采取常规护理,比较两组术后相关资料。结果单因素分析显示,A组与B组患者在括约肌是否受损、膀胱功能障碍、术后出血、尿路感染等方面差异有统计学意义(P<0.05),两组患者在吸烟、饮酒、术前IPSS评分方面差异无统计学意义(P>0.05);多因素分析显示括约肌损伤、膀胱功能障碍、术后出血、尿路感染是影响经尿道HoLEP术后排尿功能恢复的独立危险因素。观察组的下床活动时间、排气时间、进食时间、留置导管时间、术后住院时间均低于对照组(P<0.05);术后,观察组及对照组在尿路感染、暂时性尿失禁、术后尿潴留、尿道狭窄发生情况比较差异无统计学意义(P>0.05);术后1周,观察组RUV低于对照组,Qmax高于对照组(P<0.05)。结论围手术期进行一系列快速康复干预措施,能帮助患者术后快速恢复排尿功能,提高其生活质量。
Objective To explore the related influencing factors of urination function recovery after transurethral holmium laser enucleation of prostate(HoLEP)and to analyze the rapid rehabilitation intervention.Methods A retrospective analysis was performed on 120 patients who underwent transurethral HoLEP in our hospital from October 2018 to October 2019.According to recovery time of postoperative urination function,they were divided into group A(not longer than 2 weeks,52 cases)and group B(longer than 2 weeks,68 cases).The related factors affecting postoperative recovery of urination function were explored.The rapid rehabilitation intervention measures were analyzed.A total of 62 patients who underwent transurethral HoLEP in the hospital from October 2019 to March 2020 were randomly divided into observation group and control group,31 cases in each group.The observation group was given rapid rehabilitation intervention,while control group was given routine nursing.The clinical data were compared between the two groups.Results Univariate analysis showed that there were differences in sphincter damage,bladder dysfunction,postoperative bleeding and urinary tract infection between group A and B(P<0.05).There were no significant differences in smoking,drinking and preoperative IPSS between the two groups(P>0.05).Multivariate analysis showed that sphincter damage,bladder dysfunction,postoperative bleeding and urinary tract infection were independent risk factors that affected recovery of urination function after transurethral HoLEP.The leaving bed time,exhaust time,eating time,catheter indwelling time and postoperative hospitalization time in observation group were less than those in control group(P<0.05).After surgery,there was no significant difference in occurrence of urinary tract infection,temporary urinary incontinence,postoperative urinary retention and urethral stricture between observation group and control group(P>0.05).At one week after surgery,RUV of observation group was lower than that of control group,while Qmax
作者
兰红梅
杨桂莲
梁桂红
黄影
万颂
Lan Hongmei;Yang Guilian;Liang Guihong;Huang Ying;Wan Song(Department of Urology,Guangzhou Huadu People's Hospital,Guangzhou 510800,China)
出处
《中华腔镜泌尿外科杂志（电子版）》
2020年第4期292-295,共4页
Chinese Journal of Endourology(Electronic Edition)
关键词
前列腺剜除术
排尿功能
快速康复
HoLEP
Urination function
Rapid rehabilitation intervention
