前列腺电切术之手术及系统性保温措施效果观察.docVIP

前列腺电切术之手术及系统性保温措施效果观察【中图分类号】R472 【文献标识码】A 【文章编号】1672-3783(2010)07-0037-02 【摘要】目的:介绍临床前列腺电切术一般有如下步骤。探讨系统性保温措施在前列腺电切术中的影响。方法:将100例入选患者用随机数字表法分为两组,每组50例,其中对照组为室温组,冲洗液温度为室温下21℃～24℃,观察组为等温组,冲洗液温度38℃,观察两组体温变化和两组患者肢体发冷、寒战及患者满意度。结果:对照组体温下降1.9～3.1℃,平均2.1℃,观察组体温下降0.1～0.3℃,平均0.15℃,两组比较差别有统计学意义。对照组肢体发冷100%,寒战14%,患者满意度22%。结论:经尿道TURP采用系统性保温措施,能维持患者术中生命体征平稳、减少手术并发性反应和促进术后康复,提高患者舒适度和满意度。 【关键词】 前列腺 电切术之手术 体温调节 舒适度 Prostate surgery and the effect of heat preservation measures systematic observation TanQiuLin (WuSheng sichuan county hospital WuSheng sichuan 638400) 【Abstract】 objective: to introduce clinical prostate generally has the following steps. Discusses in systemic insulation measures of the prostate. Methods: one hundred cases selected patients with random number is divided into two groups, and 50 cases of control group for room temperature, temperature, rinses at 21 degrees for 24 ℃, the observation group ~ for isothermal group, rinses 38 degrees Celsius temperature observation two groups of two groups of patients, and the temperature change body chills, chills and patient satisfaction. Results: the control hypothermia 1.9 ~ 3.1 degrees, the average 2.1 degrees Celsius, the observation group hypothermia 0.1 ~ 0.3 ℃, the average 0.15, two groups was statistically significant differences. Control body chills 100%, chill 14%, patient satisfaction 22%. Conclusion: transurethral TURP using systematic insulation measures, can maintain with stable life signs, reduce the sexual response and promote the concurrent operation, improve patient postoperative rehabilitation comfort and satisfaction. 【Keywrods】 the prostate surgery thermoregulatory comfort 1 临床前列腺电切术步骤 前列腺电切术是目前治疗前列腺增生肥大症的最佳技术。临床上前列腺电切术一般有如下步骤: 1.1 体位截石体位,手术台下端可连接一引流液盛盘以承接引流液。引流液的盛盘中放一筛子承接切下的前列腺组织片。送活组织检查。检查器械每次电切术之前必须反复检查和试用电切器械,认为满意情况下,方能进行这种手术。 1.2 尿道膀胱镜检查在施行手术前必须先行尿道膀胱镜检查,对尿道、整个膀胱、膀胱颈部、后尿道精阜、前列腺和外括约肌等区域作一全面了解。根据尿道的粗细,选用27号或24号电切镜。根据前列腺的大小,决定施行那一种前列腺手术。插入电切镜找出重要标志先用金属探子试探尿道管径。注入更多的滑润剂。然后插入带