前列腺增生症患者不同手术治疗效果及相关护理体会.docVIP

前列腺增生症患者不同手术治疗效果及相关护理体会 　　【摘要】 目的 探讨经尿道前列腺等离子双极电切术 （PKRP）与传统经尿道前列腺电切术 （TURP）治疗前列腺增生症 （BPH）的临床疗效及相关护理体会。方法 120例 BPH患者分别采用 PKRP（60例， 实验组）和 TURP（60例， 对照组）进行治疗， 且所有患者均在围术期进行相关护理， 比较两组患者的手术时间、术中出血量、术后膀胱冲洗时间、留置尿管时间、平均住院时间及手术并发症情况。结果 实验组手术时间、术中出血量、术后膀胱冲洗时间、留置尿管时间、平均住院时间、术后国际前列腺症状评分 （IPSS）均优于对照组（P0.05）；且实验组并发症总发生率5.00%低于对照组 28.33%（P0.05）。结论 经围术期护理， PKRP与 TURP治疗 BPH均效果显著， 且 PKRP优于TURP， 值得临床推广应用。 　　【关键词】 经尿道前列腺等离子双极电切术；经尿道前列腺电切术；前列腺增生症；护理 　　DOI：10.14163/j.cnki.11-5547/r.2016.17.150 　　Curative effects and related nursing experience by different surgeries for benign prostatic hyperplasia patients ZHU Lin. Yunfu City People’s Hospital， Yunfu 527300， China 　　【Abstract】 Objective To investigate clinical effects and related nursing experience by transurethral plasma kinetic resection of prostate （PKRP） and conventional transurethral resection of prostate （TURP） in the treatment of benign prostatic hyperplasia （BPH）. Methods A total of 120 BPH patients respectively received PKRP （60 cases， experimental group） and TURP （60 cases， control group） for treatment. All patients received related nursing in perioperative period. Comparison was made on operation time， intraoperative bleeding volume， postoperative bladder irrigation time， indwelling catheter time， mean hospital stay time and surgical complications between the two groups. Results The experimental group had all better operation time， intraoperative bleeding volume， postoperative bladder irrigation time， indwelling catheter time， mean hospital stay time and postoperative international prostate symptom score （IPSS） than the control group（P0.05）. Total incidence of complications was lower in the experimental group as 5.00% than 28.33% in the control group （P0.05）. Conclusion Both PKRP and TURP provide precise effect in treating BPH in combination with perioperative nursing， while PKRP is better than TURP， and it is worth clinical promotion and application. 　　【Key words】 Transurethral plasma kinetic resection of prostate；