中西医结合护理在尿道等离子电切术治疗前列腺增生患者中的应用效果  

Application effect of integrated Chinese and Western medicine nursing in the treatment of patients with prostatic hyperplasia by urethral plasma resection

作　　者：夏稳 吴金梅[1] XIA Wen;WU Jinmei(Zhongda Hospital,Southeast University,Nanjing 210000,China)

机构地区：[1]东南大学附属中大医院,江苏南京210000

出　　处：《生命科学仪器》2023年第5期179-182,共4页Life Science Instruments

摘　　要：目的观察中西医结合护理在尿道等离子电切术治疗前列腺增生患者中的应用效果。方法选取我院在2020年3月至2021年10月收治的114例治疗方案为尿道等离子电切术的前列腺增生患者,以抽签法分为对照组(n=57)和研究组(n=57),对照组进行常规西医护理,研究组在常规西医护理的基础上进行中医护理,对两组患者护理后的膀胱痉挛症状分型变化、并发症发生情况以及术后康复情况进行比较,同时观察其护理前后的前列腺症状变化及勃起功能变化。结果和研究组对比,对照组膀胱痉挛程度为轻度比例明显更低(P<0.05),为中度比例更高(P<0.05);对照组并发症总发生率更高(P<0.05);对照组尿管留置时间、术后冲洗时间、住院时间明显更长(P<0.05);对照组护理后IPSS评分明显更高(P<0.05),IIEF-5评分明显更低(P<0.05)。结论对于采用尿道等离子电切术治疗的前列腺增生患者,中西医结合护理具有良好应用效果,不仅可以有效减轻其膀胱痉挛状况、降低并发症发生率,而且还可以进一步促进其术后康复,改善其前列腺症状,预防勃起障碍。Objective To observe the effect of integrated Chinese and western medicine nursing in the treatment of patients with prostate hyperplasia by urethral plasmotomy.Methods A total of 114 patients with prostatic hyperplasia treated by plasma urethral resection in our hospital from March 2020 to October 2021 were selected and divided into control group(n=57)and study group(n=57)by drawing lots.The control group received conventional Western medicine nursing,while the study group received traditional Chinese medicine nursing on the basis of conventional Western medicine nursing.The types of bladder spasm symptoms,complications and postoperative rehabilitation of the two groups were compared,and the changes of prostate symptoms and erectile function before and after care were observed.Results Compared with the study group,the proportion of mild bladder spasm in the control group was significantly lower(P<0.05),and the proportion of moderate bladder spasm was higher(P<0.05).The total complication rate of control group was higher(P<0.05).Urinary catheter retention time,postoperative irrigation time and hospital stay in control group were significantly longer(P<0.05).The IPSS score of the control group was significantly higher(P<0.05),and the IIEF-5 score was significantly lower(P<0.05).Conclusion For patients with prostatic hyperplasia treated by urethral plasmotomy,integrated nursing of Chinese and Western medicine has a good application effect,which can not only effectively alleviate the bladder spasm and reduce the incidence of complications,but also further promote the postoperative rehabilitation,improve the prostate symptoms and prevent erectile dysfunction.

关 键 词：中西医结合护理 尿道等离子电切术 前列腺增生 膀胱痉挛 并发症 前列腺症状 勃起障碍 

分 类 号：R840.5[医药卫生—航空、航天与航海医学]