良性前列腺增生患者经尿道汽化电切术后膀胱颈挛缩的危险因素分析及预防措施  

Analysis and preventive measures of bladder neck contracture risk factors in patients with benign prostate hyperplasia after transurethral resection of prostate

作　　者：俞冬梅 YU Dong-mei

机构地区：[1]高邮市中西医结合医院手术室,高邮市225631

出　　处：《护理实践与研究》2020年第14期10-12,共3页Nursing Practice and Research

摘　　要：目的探讨良性前列腺增生(BPH)患者经尿道汽化电切术(TURP)后膀胱颈挛缩(BNC)的危险因素及预防措施。方法对2017年1月至2018年12月我院行TURP治疗的BPH 108例患者进行调查,记录患者的年龄、心理状态、术前高血压、术前糖尿病、术前前列腺重量、术前尿潴留、术前前列腺炎、术者资历、术中电凝次数、膀胱冲洗液温度、导尿管堵塞、导尿管气囊注水量等临床资料,对上述资料进行单因素及多因素logistic回归分析,并针对危险因素制定有效护理干预措施。结果108例BPH TURP术后患者中发生BNC 11例,发生率为10.19%;单因素分析显示,术前前列腺炎、术者资历、膀胱冲洗液温度、导尿管堵塞和导尿管气囊注水量为BPH患者行TURP出现BNC的相关因素;多因素logistic回归分析显示,术前前列腺炎、术者资历、膀胱冲洗液温度、导尿管堵塞和导尿管气囊注水量为影响患者发生BNC的危险因素。结论术前前列腺炎、低年资术者、膀胱冲洗液温度过低(<34℃)、导尿管堵塞和导尿管气囊注水量过多(>40 ml)是TURP术后发生BNC的危险因素,采取针对性护理干预,能减少BNC的发生。Objective To explore the risk factors and preventive measures of bladder neck contracture(BNC)in patients with benign prostate hyperplasia(BPH)after transurethral resection of prostate(TURP).Methods To survey 108 cases of patients with BPH who underwent TURP treatment in our hospital from January 2017 to December 2018,and the patients'age,psychological state,preoperative hypertension,preoperative diabetes,preoperative prostate weight,preoperative urinary retention,preoperative prostatitis,qualifications of the surgeon,the number of electrocoagulation,bladder irrigation temperature,catheter blockage,catheter balloon water injection and other clinical data were recorded.The above data was implemented by univariate and multi-factor logistic regression analysis,and effective nursing intervention measures for risk factors were developed.Results Among 108 cases of patients with BPH after TURP,11 cases of BNC occurred,the incidence rate was 10.19%.Univariate analysis showed that the preoperative prostatitis,qualifications of the surgeon,temperature of bladder irrigation fluid,urinary catheter blockage,and water injection rate of urinary catheter balloon were the risk factors for BNC after TURP in BPH patients.Multivariate logistic regression analysis showed that the preoperative prostatitis,qualifications of the surgeon,temperature of bladder irrigation fluid,urinary catheter blockage,and water injection rate of urinary catheter balloon were the related factors for BNC after TURP in BPH patients.Conclusion The preoperative prostatitis,low-level surgeons,low temperature of bladder irrigation fluid(<34℃),urinary catheter blockage,and excessive water injection rate of urinary catheter balloon(>40 ml)were the risk factors for BNC after TURP in BPH patients.Taking targeted nursing intervention can reduce the occurrence of BNC.

关 键 词：良性前列腺增生 尿道汽化电切术 术后 膀胱颈挛缩 危险因素 护理措施 

分 类 号：R473.6[医药卫生—护理学]