中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
11期
122-122,124
,共2页
前列腺增生%经尿道前列腺电切术%膀胱痉挛%原因分析
前列腺增生%經尿道前列腺電切術%膀胱痙攣%原因分析
전렬선증생%경뇨도전렬선전절술%방광경련%원인분석
Benign prostatic hyperplasia%Transurethral resection of prostate%Cystospasm%Reason analysis
目的：总结经尿道前列腺电切术后膀胱痉挛原因及护理经验，进一步提高护理质量。方法：2013年4月-2014年8月收治前列腺增生患者60例，给予经尿道前列腺电切术治疗。术前向患者介绍经尿道前列腺电切术的过程、手术效果及术中患者配合的方法，加强心理护理、加强三腔气囊导尿管的护理、加强膀胱冲洗的护理、及时对膀胱痉挛症状进行处理。结果：经尿道前列腺电切术后膀胱痉挛原因分析：①本组由于紧张而发生的膀胱痉挛21例。②本组由于出血而导致的膀胱痉挛5例。③本组因疼痛而导致膀胱痉挛3例。本组60例患者发生膀胱痉挛29例，膀胱痉挛发生率48.3%，其中轻型18例，中型10例，重型1例。结论：患者紧张、术后出血堵塞引流管、疼痛的刺激等是导致经尿道前列腺电切术后膀胱痉挛的主要原因。加强心理护理、加强三腔气囊导尿管的护理、加强膀胱冲洗的护理、及时对膀胱痉挛症状的处理可以明显降低经尿道前列腺电切术后膀胱痉挛的发生率。
目的：總結經尿道前列腺電切術後膀胱痙攣原因及護理經驗，進一步提高護理質量。方法：2013年4月-2014年8月收治前列腺增生患者60例，給予經尿道前列腺電切術治療。術前嚮患者介紹經尿道前列腺電切術的過程、手術效果及術中患者配閤的方法，加彊心理護理、加彊三腔氣囊導尿管的護理、加彊膀胱遲洗的護理、及時對膀胱痙攣癥狀進行處理。結果：經尿道前列腺電切術後膀胱痙攣原因分析：①本組由于緊張而髮生的膀胱痙攣21例。②本組由于齣血而導緻的膀胱痙攣5例。③本組因疼痛而導緻膀胱痙攣3例。本組60例患者髮生膀胱痙攣29例，膀胱痙攣髮生率48.3%，其中輕型18例，中型10例，重型1例。結論：患者緊張、術後齣血堵塞引流管、疼痛的刺激等是導緻經尿道前列腺電切術後膀胱痙攣的主要原因。加彊心理護理、加彊三腔氣囊導尿管的護理、加彊膀胱遲洗的護理、及時對膀胱痙攣癥狀的處理可以明顯降低經尿道前列腺電切術後膀胱痙攣的髮生率。
목적：총결경뇨도전렬선전절술후방광경련원인급호리경험，진일보제고호리질량。방법：2013년4월-2014년8월수치전렬선증생환자60례，급여경뇨도전렬선전절술치료。술전향환자개소경뇨도전렬선전절술적과정、수술효과급술중환자배합적방법，가강심리호리、가강삼강기낭도뇨관적호리、가강방광충세적호리、급시대방광경련증상진행처리。결과：경뇨도전렬선전절술후방광경련원인분석：①본조유우긴장이발생적방광경련21례。②본조유우출혈이도치적방광경련5례。③본조인동통이도치방광경련3례。본조60례환자발생방광경련29례，방광경련발생솔48.3%，기중경형18례，중형10례，중형1례。결론：환자긴장、술후출혈도새인류관、동통적자격등시도치경뇨도전렬선전절술후방광경련적주요원인。가강심리호리、가강삼강기낭도뇨관적호리、가강방광충세적호리、급시대방광경련증상적처리가이명현강저경뇨도전렬선전절술후방광경련적발생솔。
Objective:To summarize the reason analysis and nursing experience of cystospasm after transurethral resection of prostate,to further improve the nursing quality.Methods:60 patients with benign prostatic hyperplasia were selected from April 2013 to August 2014.They were treated by transurethral resection of prostate.We introduced the process and operation effect of transurethral resection of prostate and intraoperative patient cooperate method before operation for patients.We strengthened the psychological nursing,strengthened the three cavity balloon catheter nursing,strengthened the bladder irrigation nursing and timely treated the symptoms of cystospasm.Results:The reason analysis of cystospasm after transurethral resection of prostate:①21 cases of cystospasm occured because of the tension in this group.②5 cases of cystospasm occured because of the bleeding in this group.③3 cases of cystospasm occured because of the pain in this group.29 patients occured cystospasm in 60 patients of this group,the incidence rate of cystospasm was 48.3%,18 cases were mild type,10 cases were medium type,1 case was severe type. Conclusion:The tension of patients,postoperative bleeding blocked drainage tube,the stimulation of pain are the primary reasons of cystospasm after transurethral resection of prostate.Strengthening the psychological nursing,strengthening the three cavity balloon catheter nursing,strengthening the bladder irrigation nursing and timely treating the symptoms of cystospasm can significantly reduce the incidence rate of cystospasm after transurethral resection of prostate.
