经尿道前列腺电切术术前停服阿司匹林的时间研究  

The effect of aspirin withdrawal time on the recovery of patient underwent transurethral resection of prostate

作　　者：赵佳晖[1] 侯铸[1] 罗勇[1] 李明川[1] 彭涛[1] 王永兴[1] 姜永光[1] Zhao Jiahui;Hou Zhu;Luo Yong;Li Mingchuan;Peng tao;Wang Yongxing;Jiang Yongguang.(Department of Urology, Beo＇ing Anzhen Hospital, Capital Medical University, Beijing 100029, China)

机构地区：[1]首都医科大学附属北京安贞医院泌尿外科,北京100029

出　　处：《中华腔镜泌尿外科杂志（电子版）》2018年第2期79-82,共4页Chinese Journal of Endourology(Electronic Edition)

基　　金：北京市自然科学基金(7172068)

摘　　要：目的探讨服用阿司匹林的前列腺增生患者在进行经尿道前列腺电除术(TURP)前停用阿司匹林的时间选择。方法回顾性分析首都医科大学附属北京安贞医院2010至2015年间接受TURP的前列腺增生患者,根据术前是否服用阿司匹林及阿司匹林停药时间分为停药7 d组(40例),停药>7 d组(42例)及对照组(术前未服用阿司匹林)。比较三组患者前列腺体积、住院时间、术后住院时间、手术时间、术中出血量、术中及术后输血例数、术后第1天血红蛋白下降、术后膀胱冲洗时间、尿管拔除时间、围手术期心脑血管并发症等相关指标。结果停药7 d组、停药>7 d组与对照组三组前列腺增生患者,手术时间、术中出血、术后第1天血红蛋白下降、术后膀胱冲洗时间、尿管拔除时间、术后住院时间差异无统计学意义(P>0.05),围手术期所有患者均未发生严重心脑血管事件,无死亡病例。结论对于长期服用阿司匹林的前列腺增生患者,建议停药7 d后行TURP手术,延长停药时间并不能进一步减少出血量。Objective To summarize the effects of aspirin withdrawal time on the recovery of patient underwent transurethral resection of prostate （TURP）. Methods The clinical data of BPH patients underwent TURP in our department between 2010 and 2015 were reviewed. According to the patients whether taken Asprin and the Asprin withdrawal time, these patients were divided into three groups： group 1, stop Asprin during perioperative period for 7 days; group 2, stop Asprin during perioperative period more than 7 days; control group, not taken Asprin. The volume of prostate, operating time, intraoperative bleeding amount, the length of hospital stay, the length of hospital stay after operation, the case of blood transfusion, hemoglobin decline in the first day after operation, the weight of resected prostate, the time of bladder irrigation and catheter removed after surgery, and the complication of cardio-cerebral vascular in perioperative period were compared. Results There were no significant differences in operation time, intraoperative bleeding amount, hemoglobin decline, the time of bladder irrigation, the time of catheter removed, and the length of hospital stay between the three groups （P〉0.05）. No severe cardio-cerebral vascular events occurred in all patients during the perioperative period. Conclusion Stop taking Asprin before TURP operation for 7 days is effective to reduce the bleeding and cardio-cerebral vascular complications.

关 键 词：前列腺增生 前列腺切除术 阿司匹林 

分 类 号：R699.8[医药卫生—泌尿科学]