前列腺电切术后膀胱痉挛高危因素分析及临床护理  

High Risk Factors Analysis and Clinical Nursing of Bladder Spasm after Prostate Operation

作　　者：王玉梅[1] 方艳[1] 马爱玲[1] WANG Yu-mei;FANG Yan;MA Ai-ling(Department of Urology,Suqian People's Hospital,Nanjing Gulou Hospital Group,Suqian,Jiangsu Province,223800 China)

机构地区：[1]南京鼓楼医院集团宿迁市人民医院泌尿外科,江苏宿迁223800

出　　处：《中外医疗》2018年第34期130-132,共3页China & Foreign Medical Treatment

摘　　要：目的探析前列腺电切术后膀胱痉挛的高危因素以及临床护理。方法随机选取该院在2016年1月—2017年12月期间收治的117例实施前列腺电切术的患者,将术后发生膀胱痉挛的59例患者作为发生组,术后未发生膀胱痉挛58例患者作为未发生组,比较两组患者各因素包括前列腺症状评分≥20分、焦虑评分≥50分、生活质量指数≥3.5分、不稳定性膀胱、冲洗液温度、引流管堵塞、尿路感染的发生率,并提出相应的临床护理措施。结果两组患者的前列腺症状评分≥20分、生活质量指数≥3.5分,差异无统计学意义(χ~2=0.307,0.248,P>0.05);发生组患者的不稳定性膀胱发生率35.6%、引流管堵塞发生率72.9%、冲洗液温度过低发生率74.6%、尿路感染发生率69.5%、SAS评分≥50分发生率69.5%均显著高于未发生组15.5%、24.1%、46.6%、19.0%、46.6%,差异有统计学意义(χ~2=10.227,12.503,11.721,14.248, 10.178,P<0.05)。由Logistic分析发现,前列腺电切术后膀胱痉挛的高危因素包括不稳定性膀胱、引流管堵塞、冲洗液温度、尿路感染、焦虑评分(P<0.05)。结论前列腺电切术后膀胱痉挛的高危因素复杂,护理人员需采取相应护理措施,促进患者早日康复。Objective To analyze the high risk factors and clinical nursing of bladder spasm after prostatectomy operation.Methods A total of 117 patients undergoing prostatectomy underwent surgery from January 2016 to December 2017 were random selected.59 patients with postoperative bladder spasm were enrolled in the study group.58 patients with no bladder spasm occurred after operation as the non-occurring group,the factors of the two groups were compared:prostate symptom score ≥20 points,anxiety score ≥50 points,quality of life index ≥3.5 points,unstable bladder,irrigating fluid temperature,drainage tube occlusion,urinary tract infection rate and propose appropriate clinical care measures.Results The scores of prostate symptoms were ≥20 points and the quality of life index was ≥3.5 points.The difference was not statistically significant(χ^2=0.307,0.248,P>0.05).The incidence of unstable bladder in the patients in the group occurred 35.6%,drainage tube occlusion rate 72.9%,irrigating solution temperature low rate 74.6%,urinary tract infection rate 69.5%,SAS score ≥ 50 points 69.5% were significantly higher than the non-occurring group 15.5%,24.1% 46.6%,19.0%,46.6%,the difference was significant (χ^2=10.227,12.503,11.721,14.248,10.178,P<0.05),with statistical significance.Logistic analysis found that high risk factors for bladder spasm after prostatectomy surgery included unstable bladder,drainage tube blockage,irrigating fluid temperature,urinary tract infection,and anxiety score (P<0.05).Conclusion The high risk factors of bladder spasm after prostatectomy surgery are complicated.Nursing staff need to take corresponding nursing measures to promote the early recovery of patients.

关 键 词：前列腺电切 膀胱痉挛 高危因素 护理措施 

分 类 号：R604[医药卫生—外科学]