膀胱冲洗液保温处理对经尿道前列腺电切术后膀胱痉挛的影响.docVIP

精品论文 参考文献 膀胱冲洗液保温处理对经尿道前列腺电切术后膀胱痉挛的影响 曾娜（商丘市第一人民医院泌尿外科 河南商丘 476100） 　　【摘要】目的: 分析膀胱冲洗液保温处理对经尿道前列腺电切术后膀胱痉挛的影响。方法: 选取我院2014 年9 月-2015 年5 月期间收治的符合前列腺增生诊断标准的患者60 例，所有患者均进行经尿道前列腺电切除术，将患者随机分为两组，各30 例，对照组采用常规膀胱冲洗液保温处理（22-24deg; C），观察组则采用综合膀胱冲洗液保温处理（36-37deg; C），分析比较两组患者治疗疗效。结果: 观察组出血量、冲洗时间及冲洗液用量均低于对照组，差异显著（P ＜ 0.05）；观察组膀胱痉挛发生率显著低于对照组，差异显著（P ＜ 0.05）。结论: 综合膀胱冲洗液保温处理在对经尿道前列腺电切术后膀胱痉挛中的应用疗效显著，可减少术后膀胱痉挛发生，在临床应用中???得推广。 　　【关键词】膀胱冲洗液；保温处理；经尿道前列腺电切术；膀胱痉挛【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-9753（2016）5-0036-02Bladder washings thermal insulation on transurethral resection of bladder spasmZeng Na (Shangqiu Shangqiu First Peoples Hospital Urology 476 100)[Abstract] Objective: To analyze bladder washings thermal insulation on transurethral resection of bladder spasm. Methods: Ahospital in September 2014 - May 2015 period were treated 60 patients met the diagnostic criteria for benign prostatic hyperplasia,all patients underwent transurethral resection, patients were randomly divided into two groups, 30 cases, control group withconventional bladder washings heat treatment (22-24 deg; C), the observation group is an integrated bladder washings heat treatment(36-37 deg; C), analysis of the efficacy of the treatment were compared. Results: The amount of bleeding, wash and rinse with time werelower than the control group, the difference was significant (P lt;0.05); bladder spasm observation group was significantly lower than thecontrol group, the difference was significant (P lt;0.05). Conclusion: Comprehensive bladder washings through the application of thermalinsulation in the efficacy of transurethral resection of bladder spasm was significantly can reduce bladder spasm, worthy of clinicalapplication.[Key words] bladder washings; thermal insulation; transurethral resection of prostate; bladder spasm 　　随着我国老龄化人口的加剧，前列腺增生发病率呈逐年上升的趋势[1]。临床上对于治疗前列腺增生通常采用经尿道前列腺电切除术，由于该切除术具有创伤性小、预后恢复快等特点，广受患者的青睐[2]。在对患者膀胱进行冲洗时，冲洗液温度的控制显得非常重要，若冲洗液温度控制不当，易导致患者出现膀胱痉挛，进而引起膀胱出血[3]。本研究对经尿道前列腺电切除术后患者采用不同温度的膀胱冲洗液保温处理效果进行分析。