摘要
目的探讨手术室护理干预模式对经尿道前列腺电切术(TURP)患者应激反应改善及术后并发症控制的价值。方法选取2018年1月-2020年12月在泰州市第三人民医院行TURP术治疗的116例患者并通过随机数字表法分组。观察组共58例,开展手术室护理干预模式;常规组共58例,开展常规护理模式。比较两组术前、术后第3天的应激反应指标[肾上腺素(E)、血清皮质醇(Cor)及去甲肾上腺素(NE)]、尿流动力学[最大尿道闭合压(MUCP).残余尿量(RUV).最大尿流率(Qmax)]以及并发症情况。结果术后第了天观察组的E、Cor、NE、RUV、MUCP水平相比常规组明显更低,而Qmax相比常规组更高,差异具有统计学意义(t=6.247.6.302.6.508、8.010.26.344、4.026,均P<0.05);观察组并发症发生率低于常规组,差异具有统计学意义(x^(2)=4.245,P<0.05)。结论手术室护理干预模式应用在TURP术中,可以显著缓解患者的应激反应和Qmax、RUV等水平,控制术后并发症风险。
Objective To sludy the valure of nursing intervention mode in operating room in the improvement of stress response and postoperaive complicaions control in TURP patientsMethods I 16 patients who were treated by TURP from January 2018 to December 2020 wer divided into groups by random digital table method.58 rases in the observation group were carrierd outl,and the nursing intervention mode in the operating room was carried out;58 rases were in the routine group,and the intervention mode of routine nursing was rarried out.The stress response indexes(adrenaline(E),serum corisol(Cor)and noradrenaline(NE),urodlynamics(MLCP).residual urine volume(RUV),maximum urinary flow rate(Qmax)and compliraions were compared bhetween the two groups.Results The levelsof E.Cor,NE.RUV and MUCP in the ohseration group were signifcrantly lower than those in the conventional group,while Qmax was higher than that of the conventional group.and the difference was satistially signifrant(t=6.247.6.302.6.508.8.010.26.344.4.026.all P<0.05):The ineidence of complcations in observaion group was lower than that of the conventional group.and the difrenre was stistically signifrant(x^(2)=4.245.P<0.05).Conclusion The application of nursing intervention mode in TURP can signifcantly alleviate the stress response and the level of Qmax and RUV.and control the risk of postoperative complications.
出处
《首都食品与医药》
2022年第2期101-103,共3页
Capital Food Medicine
