经尿道激光汽化前列腺切除术和经尿道前列腺电切除术后临床护理对照体会  

A Comparative Study on Nursing Experience of Two Micron Laser Vaporesection of Prostate and Transurethral Resection of the Prostate During Operation

作　　者：杨瑞英[1] 那洪波[1] 陈天贺 王宏[1] 田影[1] 刘梦瑶[1] 陈丽丽[1] 

机构地区：[1]哈尔滨二四二医院,黑龙江哈尔滨150066

出　　处：《航空航天医学杂志》2015年第1期104-106,共3页Journal of Aerospace medicine

摘　　要：目的比较经尿道2μm激光前列腺汽化切除术和经尿道前列腺电切除术的临床效果和护理特点,以提高护理工作质量。方法 200例良性前列腺增生患者分为两组,100例接受经尿道2μm激光手术治疗(激光组),100例患者接受经尿道前列腺电切除术(电切组)治疗。分析两组前列腺增生患者临床资料,对术后出血、膀胱冲洗时间、膀胱痉挛发生率、离床活动时间、平均住院时间等方面总结和分析。结果两组患者手术前后最大尿流率(Qmax)、残余尿(PRV)比较均得到显著改善(P<0.01)。膀胱冲洗时间和术后并发症患者激光组较电切组住院时间明显减少(P<0.05),而术后住院时间(P>0.05)缩短不明显。结论与经尿道前列腺电切术相比,经尿道2μm前列腺汽化切除术中、术后出血少,术后留置导尿管时间、膀胱冲洗时间均缩短,明显提高护理工作效率。Objective Compare clinical effect and nursing features of 2 micron laser vaporesection of prostate and transurethral resection of the prostatecomparing（ TURP） to improve the quality of nursing. Methods A total of 200 patients who were diagnosed with benign prostatic hyperplasia（ BPH） were divided into two groups randomly,100 cases underwent laser surgery（ laser group）, 100 patients underwent transurethral resection（ TURP group） therapy. Retrospectively analyse two groups of patients with benign prostatic hyperplasia clinical data,summarize and analyse data of postoperative bleeding,bladder irrigation time,the incidence of bladder spasm,ambulation time,average length of stay and other aspects. Results The maximum urinary flow rate（ Qmax） and residual urine（ PVR） of two groups of patients were significantly improved after surgery（ P〈0. 01）. Laser treatment group significantly reduce than the TURP group in bladder irrigation time（ P〈0. 05） and postoperative complications（ P〈0. 05）,except in hospitalization time（ P〉0. 05）. Conclusions Compared with transurethral resection,2- micron laser resection of the prostate has lots of advantages as less postoperative bleeding,postoperative indwelling catheter time,shorter bladder irrigation times and efficiency of nursing.

关 键 词：经尿道2μm激光前列腺汽化切除术 经尿道前列腺电切除术 前列腺增生症 护理对照体会 

分 类 号：R473[医药卫生—护理学]