舒适护理对前列腺增生联合治疗影响.docVIP

舒适护理对前列腺增生联合治疗影响 　　[摘要] 目的 研究拟胆碱能药物联合经尿道前列腺电切治疗前列腺增生过程中辅助舒适护理措施的治疗效果。方法 选取前列腺增生并发逼尿肌无力患者66例，随机分为研究组（n = 34）和对照组（n = 32）两组。对照组采取拟胆碱能药物联合经尿道前列腺电切治疗，在治疗前后采取传统的常规护理；研究组采取拟胆碱能药物联合经尿道前列腺电切治疗，治疗前后在传统的常规护理基础上再对患者进行舒适护理措施。 结果 研究组术后IPSS低于对照组，且明显低于术前（P 　　[关键词] 前列腺增生；逼尿肌无力；拟胆碱能药物联合经尿道前列腺电切治疗；舒适护理 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2013）25-0084-03 　　The effect of comforting care in the combined treatment of prostate hyperplasia 　　LIU Shuiying TONG Yanyue WAN Lijun 　　Department of Urology， Central Hospital of Quzhou City in Zhejiang Province， Quzhou 324000， China 　　[Abstract] Objective To study the auxiliary therapeutic effect of comforting care measures in the process of combined cholinergic drugs and transurethral resction of prostate treating prostatic hyperplasia. Methods Sixty-six patients with prostatic hyperplasia complicated with detrusor weak were selected as the study objects， randomly divided into the research group and the control group. The research group included 34 patients， who received comforting care measures on the basis of conventional nursing. The control group included 32 patients， who received conventional nursing care alone. Results The IPSS after surgery of 34 patients in the research group was lower than that in the control group， and was also significantly lower than that before surgery（P 　　[Key words] Prostatic hyperplasia； Detrusor weak； Treatment of cholinergic drugs combined with transurethral resection of prostate； Comforting care 　　前列腺增生是老年男性患者的常见疾病之一。开放手术和经尿道前列腺电切术是治疗合并膀胱出口梗阻的前列腺增生的重要方法，但有一部分患者手术效果不理想。国内外临床研究表明，前列腺增生往往容易并发逼尿肌无力，其比例在11%～21%左右，严重者可以导致患者逼尿肌功能紊乱，从而引起患者小便困难，严重影响患者生活质量[1，2]。研究表明，??胆碱能药物联合经尿道前列腺电切治疗伴发逼尿肌无力的前列腺增生患者，可以获得比较好的疗效，且在治疗过程中同时对患者辅助舒适护理措施，可以增强治疗效果，有利于患者尽快康复[3]。本文旨在研究拟胆碱能药物联合经尿道前列腺电切治疗前列腺增生过程中辅助舒适护理措施的疗效。 　　1 资料与方法 　　1.1 一般资料 　　本研究选取2011年5月～2012年12月我院收治的前列腺增生并发逼尿肌无力患者66例，随机分为研究组和对照组两组。对照组32例患者皆采取拟胆碱能药物联合经尿道前列腺电切治疗，在治疗前后采取传统的常规护理；研究组34例患者，皆采取拟胆碱能药物联合经尿道前列腺电切治疗，治疗前后在传统的常规护理基础上再对患者进行舒适护理措施。两组患者一般临床资料比较，差异均无统计学意