术后免冲洗法在经尿道前列腺手术患者中的护理研究  

Study of Postoperative No-flush Method of Care in Patients Undergoing Transurethral Prostate Surgery

作　　者：梁雪飞 梁倩华 谭开云 Liang Xue-fei;Liang Qianhua;Tan Kaiyun(Yangjiang Hospital of Traditional Chinese Medicine,Yangjiang,Guangdong,529500,China)

机构地区：[1]阳江市中医医院,广东阳江529500

出　　处：《黑龙江医学》2024年第2期225-227,共3页Heilongjiang Medical Journal

基　　金：阳江市医疗卫生类科技计划项目(SF2020117)。

摘　　要：目的:探讨术后免冲洗法在经尿道前列腺手术患者中的应用效果,为临床护理提供依据。方法:选取2020年10月—2022年1月阳江市中医医院收治的80例良性前列腺增生(BPH)患者作为研究对象,采用随机数表法将其分为对照组和研究组,每组各40例。对照组患者在经尿道前列腺电切术(TURP)术后给予常规膀胱冲洗,研究组患者采用经尿道前列腺绿激光剜切术(PVRP)且术后免膀胱冲洗。比较两组患者临床相关指标、并发症及护理满意度情况。结果:两组患者手术时间比较,差异无统计学意义(t=1.668,P>0.05);研究组患者恢复胃肠蠕动时间、留置尿管时间及住院时间均短于对照组,差异有统计学意义(t=-216.190、-7.337、-15.619,P<0.05)。研究组患者并发症总发生率为25.00%,低于对照组的47.50%,差异有统计学意义(χ^(2)=4.381,P<0.05)。研究组患者总护理满意度为97.50%,高于对照组的77.50%,差异有统计学意义(χ^(2)=7.314,P<0.05)。结论:在经尿道前列腺手术患者中应用术后免冲洗法护理干预,能够加快术后恢复时间,缩短住院时间,有效减少并发症的发生,提高患者的护理满意度。Objective:To investigate the effect of postoperative no-flush method in patients undergoing transurethral prostate surgery and to provide a basis for clinical care.Methods:80 cases of benign prostatic hyperplasia(BPH)patients admitted to the hospital from October 2020 to January 2022 were selected as the study subjects,and they were equally divided into the control group and the study group using the random number table method,with 40 cases in each group.The control group was given routine bladder irrigation after transurethral resection of the prostate(TURP),and the study group was treated with transurethral enucleation of the prostate with green laser(PVRP)and bladder irrigation was waived after the operation.Clinical indicators,complications and nursing satisfaction were compared between the two groups.Results:There was no statistically significant difference in the comparison of operation time between the two groups(t=1.668,P>0.05).The time for recovery of gastrointestinal peristalsis,indwelling urinary catheter time and hospitalization time of the study group were shorter than those of the control group,and the difference was statistically(t=-216.190,-7.337,-15.619,P<0.05).The total complication rate of patients in the study group was 25.00%,which was significantly lower than 47.50%in the control group,and the difference was statistically significant(χ^(2)=4.381,P<0.05).The total nursing satisfaction of patients in the study group was 97.50%,which was higher than 77.50%in the control group,and the difference was statistically significant(χ^(2)=7.314,P<0.05).Conclusion:The application of postoperative no-flush method nursing intervention in patients undergoing transurethral prostate surgery can promote postoperative recovery,shorten hospitalization time,effectively reduce the occurrence of complications,and improve patient satisfaction with care.

关 键 词：术后免冲洗法 膀胱冲洗 并发症 护理满意度 

分 类 号：R473.6[医药卫生—护理学]