循证护理对老年前列腺增生患者经尿道前列腺电切术低体温的预防效果研究  

Effect of evidence-based care for prevention of hypothermia in elderly benign prostatic hyperplasia patients with hyperplasia transurethral resection surgery

作　　者：朱爱满 陆春[1] ZHU Aiman LU Chun(Department of Operating Room, the First People＇s Hospital of ChiZhou, Chizhou, Anhui, 24700)

机构地区：[1]安徽省池州市人民医院手术室,安徽池州247000

出　　处：《实用临床医药杂志》2017年第8期116-120,共5页Journal of Clinical Medicine in Practice

基　　金：安徽省卫生厅资助项目(2010H25)

摘　　要：目的探讨循证护理对于老年前列腺增生患者经尿道前列腺等离子双极电切术(TUPKRP)低体温的预防效果。方法选择本院行TUPKRP治疗的100例老年前列腺增生患者,将其随机分成2组各50例,观察组给予循证护理,对照组给予常规系统护理,比较2组的体温变化、异常情况及满意度。结果观察组麻醉前、麻醉后15 min、术中30 min与术后30 min的体温差异无统计学意义(P>0.05);对照组麻醉后体温呈下降趋势,各时点的总体差异有统计学意义(P<0.05),对照组麻醉后各时点体温均低于观察组,差异均有统计学意义(P<0.05),观察组围术期低体温、寒战、膀胱痉挛发生率分别为12.00%、6.00%、22.00%,均低于对照组(P<0.05)。观察组的满意率(90.00%)高于对照组(74.00%)(P<0.05)。结论循证护理可有效预防老年前列腺增生患者TUPKRP围术期低体温的发生,值得推广应用。Objective To probe effect of evidence-based care for prevention of hypothermia in transurethral resection of the plasma bipolar （TUPKRP） for elderly patients with benign prostatic hyperplasia（BPH）. Methods One hundred elderly patients with BPH treated with TUPKRP in our hospital were randomly divided into two groups. The observation group （50 cases） was given evidence-based nursing, and the control group （50 cases）was given conventional systematic care. The temperature change, complication and satisfactory degree between two groups were compared. Results The difference of temperature in observation group among different time（ before anesthesia, 15 min after anesthesia, 15 min after surgery starting and 30 min after surgery completion） had no significant difference（P 〉0.05）. The temperature in the controls had an obvious declining tendency, and the difference among different time were statistically significant （ P 〈 0.05 ）. The temperature in the con- trols at each time point after anesthesia was lower than that of observation group （P 〈 0.05 ）. Perioperative hypothermia, chills, bladder spasm rates of the observation group were 12.00% , 6.00% and 22.00% respectively, and were significantly lower than that of controls（ P 〈 0.01 ）. The satisfactory degree in observation group was higher than that of controls （ 90.00% vs. 74.00% , P 〈 0.05 ）. Conclusion Evidence-based care is effective for preventing perioperative hypothermia for elderly pa- tients with BPH, and deserves clinical promotion.

关 键 词：循证护理 经尿道前列腺电切术 低体温 

分 类 号：R473.6[医药卫生—护理学]