经尿道前列腺腔内剜除术后持续膀胱冲洗的停止时间.pdfVIP

中华现代护理杂志2012 年2 月 6 日第 18 卷第4 期 Chin J Mod NU I8 .FeblU8!V 6.2012. Vo1. 18.Nι4 .413. ·研究芸萃. 经尿道前列腺腔内刺除术后持续膀肮冲洗的 停止时间 中海燕刘亚珍潘德玲 [摘要】 目的探讨经尿道前列腺腔内删除术(叽厄RP)术后持续膀脱冲洗停止的最佳时间。方法将 ω例术后留置持续膀脱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 停止持续膀恍冲洗，对照组术后72h 后停止持续腾脱冲洗，比较两组患者冲洗停止后下床活动时间、尿路 感染及膀胧痊孪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 土 2.23 沛，对照组为 (76.2 士4.12沛，组间比较差异有统计学意义。=ω. 剿， PO. 01) 。观察组发生膀脱痊孪 1 例，无尿路感 染发生，对照组发生膀脱瘁孪9 例，尿路感染 10 例，组间比较差异具有统计学意义(i 分别为 7.6曲， 12. 侧;P 均 0. 臼)。观察组患者 1 个月后生活质量(QOL) 评分为(0. 75 j: O. 15) 分，对照组为(1. 50 士 0.31)分，组间比较差异具有统计学意义(t= -1 1. 995 ， P0.01) 。结论经尿道前列腺删除术术后24h 内 停持续膀脱冲洗可以提单患者下床活动时间，降低尿路感染及膀眈瘟孪发生率，提高患者生活质量。 [关键词】 经尿道前列腺切除术; 膀胧冲洗z 停止时间 Oppo抽血ity o( non-bladder perfusion after 衍ansure也raI enucl幅tion and resection o( pr回tate SHEN Hai-yan , UU Ya-加n ， PAN De-li咱 • Depa11ment 01 UriTωry Surgery , Zhujiang Hωp， 归l ，5oωhem Medical University , Gt皿咱劝ou 510282 , Chinq, Corresporuling aωhor:UU Ya-劝en ,E 1TUJÜ : liuyazhenI23456@ sÎna• ωm [ Abstract ) Obj创刊 To invesligale 由e opportunity of non-bladder perfusion after transurethra1 enucleation and resection of proslate (TUERP). Methods Sixty patients suffered from TUERP were di时ded into two gr四ps according to random number wi由 30 阳lients in each group . The observation group was halted bladder perfusion on 也e next day of operation , and 由e control group w.皿 halted after 3 d. The ambulation time , the rates of urin町 tract infection and contraction of bladder and 甲ality of life were recorded and analyzed. Results Contraction of bladder in 1 case and no urinary tract infection happened in 由e observation group and 9ωses and 10 cωes in the control group 陀spectively; 由e differences between 由e two grou阳 were significant (i =7.680 ， 12. α泪， respectively; P O. 05 ). Score of QOL one month later in the observation gr