经尿道前列腺电汽化切除术术后早期护理干预(附325例报告)  

Transurethral Vaporization Resection of Early Postoperative Nursing Intervention(Report of 325 Cases)

作　　者：罗晓英[1] 吴明辉[1] 简讯[1] 

机构地区：[1]四川绵阳四○四医院<川北医学院附属第二医院>,四川绵阳621000

出　　处：《哈尔滨医药》2013年第1期12-13,共2页Harbin Medical Journal

摘　　要：目的通过对325例经尿道前列腺电汽化切除术(TVP)术后早期护理干预,以减少术后痛苦,提高TVP质量。方法纳入325例拟行TVP的良性前列腺增生(BPH)患者。TVP术后进行早期心理护理,观察生命体征,注意预防电切综合征、膀胱痉挛、出血、深静脉血栓形成、感染等并发症。结果本组325例术后留置尿管4～8 d,平均5.7 d。拔尿管后暂时性尿失禁74例,通过提肛锻炼5～27 d后消失。其他并发症膀胱痉挛20例,尿路感染19例,术后出血11例,电切综合征2例,无深静脉血栓形成。325例患者全部康复,平均住院时间11 d。结论对TVP术后患者实施早期护理可干预减少并发症发生,促进患者早日康复。Objective Based on 325 cases of transurethral resection of the prostate（TVP） electric vaporization early postoperative nursing intervention,in order to reduce postoperative pain, improve the quality of TVP. Methods In 325 cases the intended line of TVP （BPH） in patients with benign prostatic hyperplasia. TVP by early postoperative psychological nursing, observation of vital signs, pay attention to the prevention of TULIP syndrome, bladder spasm, hemorrhage, deep vein thrombosis, infection and other complications. Re- suits This group of 325 cases of postoperative indwelling catheter for 4 - 8 days,the average 5.7 d. After decannulation temporary in- continence 74 cases ,through the levator ani exercise after 5 - 27 d disappeared. Other complications of bladder spasm in 20 cases, 19 cases of urinary tract infection,postoperative hemorrhage in 11 cases, resection syndrome in 2 cases, no deep venous thrombosis. All 325 patients recovered, the average hospitalization time 11 d. Conclusion TVP to the patients with early implementation of the nursing intervention can reduce complications, will promote the patient recover at an early date.

关 键 词：良性前列腺增生 经尿道电汽化切除术 护理干预 

分 类 号：R697.32[医药卫生—泌尿科学]