中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
4期
413-415
,共3页
经尿道前列腺切除术%膀胱冲洗%停止时间
經尿道前列腺切除術%膀胱遲洗%停止時間
경뇨도전렬선절제술%방광충세%정지시간
Transurethral resection of prostate%Bladder perfusion%Halted time
目的 探讨经尿道前列腺腔内剜除术(TUERP)术后持续膀胱冲洗停止的最佳时间.方法 将60例术后留置持续膀胱冲洗的患者按随机数字表法随机分成对照组和观察组各30例,观察组术后24h内停止持续膀胱冲洗,对照组术后72 h后停止持续膀胱冲洗,比较两组患者冲洗停止后下床活动时间、尿路感染及膀胱痉挛发生率和生活质量评分.结果 观察组开始下床活动时间为(24.1±2.23)h,对照组为(76.2±4.12)h,组间比较差异有统计学意义(t=60.904,P＜0.01).观察组发生膀胱痉挛1例,无尿路感染发生,对照组发生膀胱痉挛9例,尿路感染10例,组间比较差异具有统计学意义(x2分别为7.680,12.000;P均＜0.05).观察组患者1个月后生活质量(QOL)评分为(0.75±0.15)分,对照组为(1.50±0.31)分,组间比较差异具有统计学意义(t=-11.995,P＜0.01).结论 经尿道前列腺剜除术术后24h内停持续膀胱冲洗可以提早患者下床活动时间,降低尿路感染及膀胱痉挛发生率,提高患者生活质量.
目的 探討經尿道前列腺腔內剜除術(TUERP)術後持續膀胱遲洗停止的最佳時間.方法 將60例術後留置持續膀胱遲洗的患者按隨機數字錶法隨機分成對照組和觀察組各30例,觀察組術後24h內停止持續膀胱遲洗,對照組術後72 h後停止持續膀胱遲洗,比較兩組患者遲洗停止後下床活動時間、尿路感染及膀胱痙攣髮生率和生活質量評分.結果 觀察組開始下床活動時間為(24.1±2.23)h,對照組為(76.2±4.12)h,組間比較差異有統計學意義(t=60.904,P＜0.01).觀察組髮生膀胱痙攣1例,無尿路感染髮生,對照組髮生膀胱痙攣9例,尿路感染10例,組間比較差異具有統計學意義(x2分彆為7.680,12.000;P均＜0.05).觀察組患者1箇月後生活質量(QOL)評分為(0.75±0.15)分,對照組為(1.50±0.31)分,組間比較差異具有統計學意義(t=-11.995,P＜0.01).結論 經尿道前列腺剜除術術後24h內停持續膀胱遲洗可以提早患者下床活動時間,降低尿路感染及膀胱痙攣髮生率,提高患者生活質量.
목적 탐토경뇨도전렬선강내완제술(TUERP)술후지속방광충세정지적최가시간.방법 장60례술후류치지속방광충세적환자안수궤수자표법수궤분성대조조화관찰조각30례,관찰조술후24h내정지지속방광충세,대조조술후72 h후정지지속방광충세,비교량조환자충세정지후하상활동시간、뇨로감염급방광경련발생솔화생활질량평분.결과 관찰조개시하상활동시간위(24.1±2.23)h,대조조위(76.2±4.12)h,조간비교차이유통계학의의(t=60.904,P＜0.01).관찰조발생방광경련1례,무뇨로감염발생,대조조발생방광경련9례,뇨로감염10례,조간비교차이구유통계학의의(x2분별위7.680,12.000;P균＜0.05).관찰조환자1개월후생활질량(QOL)평분위(0.75±0.15)분,대조조위(1.50±0.31)분,조간비교차이구유통계학의의(t=-11.995,P＜0.01).결론 경뇨도전렬선완제술술후24h내정지속방광충세가이제조환자하상활동시간,강저뇨로감염급방광경련발생솔,제고환자생활질량.
Objective To investigate the opportunity of non-bladder perfusion after transurethral enucleation and resection of prostate (TUERP).Methods Sixty patients suffered from TUERP were divided into two groups according to random number with 30 patients in each group.The observation group was halted bladder perfusion on the next day of operation,and the control group was halted after 3 d.The ambulation time,the rates of urinary tract infection and contraction of bladder and quality of life were recorded and analyzed.Results Contraction of bladder in 1 case and no urinary tract infection happened in the observation group and 9 cases and 10 cases in the control group respectively; the differences between the two groups were significant ( x2 =7.680,12.000,respectively ; P ＜ 0.05 ).Score of QOL one month later in the observation group was (0.75 ± 0.15 ) and ( 1.50 ± 0.31 ) in the control group,and the difference was significant ( t =- 11.995,P ＜0.01 ).Conclusions The halted bladder perfusion in the next day after operation can decrease ambulation time,decrease the rates of urinary tract infection and contraction of bladder and improve quality of life.
