预防便秘对经尿道前列腺电切术后再次出血的重要-第三军医大学学报.doc

聚乙二醇4000散剂类药物对预防TURP术后继发性出血影响的研究 康简1 俞文洁1 赵庆华2 （1重庆医科大学附属第一医院泌尿外科 2重庆医科大学附属第一医院护理部 重庆 410016） 摘要：目的 探讨经尿道前列腺电切术(TURP)术后使用聚乙二醇4000散剂类药物预防便秘和术后继发性出血之间的关系。方法 对2010年至2011年636例前列腺增生患者进行研究，随机将TURP术后患者分为实验组和对照组。实验组术后第一天常规使用聚乙二醇4000散剂类药物预防便秘，对照组不服用聚乙二醇4000散剂类药物。通过统计分析使用聚乙二醇4000散剂类药物对TUPR术后患者发生继发出血之间的联系。 结果 数据显示TURP术后使用聚乙二醇4000散剂类药物对患者继发性出血发生情况无明显改善，且实验组与对照组比较，实验组较对照组患者平均住院日多2.5天。 结论 TURP手术后第一天使用聚乙二醇4000散剂类药物预防便秘，不能预期降低术后继发性出血的发生率。 关键词：前列腺增生；经尿道前列腺电切；术后出血；便秘 The research of the relationship between Poly (ethylene glycol) 4000 powder drugs and TURP postoperative secondary hemorrhage KangJian YuWenJie ZhaoQingHua (1 Chongqing medical university subsidiary first hospital uropoiesis surgical department 2 Chongqing medical university subsidiary first hospital nursing department) Abstract: objection to investigate the relationship between the postoperative secondary bleeding and the polyethylene glycol 4000 powder drugs after the patient undergoing urethra prostate electricity cut method (TURP) surgery. Methods: To study 636 patients with prostatic hyperplasia in two-year period for 2010-2011, Random patients after TURP surgery into the experimental group and the control group. Use polyethylene glycol 4000 powder drugs to prevent constipation for the experimental group rather than he control group on one day after surgery. Through the statistical analysis the relationship between polyethylene glycol (peg) 4000 powder drugs and postoperative bleeding after TURP. Result The data shows that use of polyethylene glycol (peg) 4000 drugs to patients after TURP surgery with no obvious improvement of postoperative bleeding, compared with control groups, the experimental group hospitalized for more than 2.5 days. Conclusion Use polyethylene glycol 4000 drugs to prevent constipation after TURP surgery, couldn’t reduce the incidence of postoperative bleeding. Keywords: prostate hyperplasia, The urethra prostate cutting, Postoperative bleeding, constipation 良性前列腺增生症是引起中老年男性排尿障碍原因中最为常见的一