三步尿管拔除模式在前列腺增生症电切术后患者中的应用研究  

Application of three-step urethral catheter removal mode in patients with prostatic hyperplasia after electrotomy

作　　者：黄丽芳[1] 何昌莹 巫冬梅 林小珍 黄敏玉[1] 罗前颖[2] HUANG Lifang;HE Changying;WU Dongmei;LIN Xiaozhen;HUANG Minyu;LUO Qianying(Department of Urology,Affiliated Hospital of Youjiang Medical College for Nationalities,Baise 533000,Guangxi,China;College of Nursing,Youjiang Medical College for Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]右江民族医学院附属医院泌尿外科,广西百色533000 [2]右江民族医学院护理学院,广西百色533000

出　　处：《中国性科学》2024年第7期19-22,共4页Chinese Journal of Human Sexuality

基　　金：广西壮族自治区卫生健康委员会自筹经费科研项目(Z20200294)。

摘　　要：目的探讨三步尿管拔除模式与传统尿管拔除模式对前列腺增生症患者电切术后临床疗效的影响。方法选取2020年5月至2022年5月右江民族医学院附属医院泌尿外科收治的200例前列腺增生症患者进行前瞻性研究,按随机数字表法将其分为对照组(n=100)和观察组(n=100)。两组均行电切术治疗,术后均留置三腔尿管(气囊内注入15 mL无菌生理盐水),对照组行传统尿管拔除模式干预,观察组行三步尿管拔除模式干预。观察并比较两组患者拔尿管后出血、疼痛、感染及有无排尿不尽或尿潴留情况。结果观察组住院时间短于对照组(P<0.05);治疗后最大尿流率(Qmax)、逼尿肌压(Pdet-Qmax)高于对照组,膀胱顺应性(BC)值、残余尿量(PVR)低于对照组(P<0.05);排尿舒适度分级优于对照组(P<0.05);术后3、6个月时总膀胱性质改善情况优于对照组(P<0.05);并发症发生率显著低于对照组(P<0.05)。结论与传统尿管拔除模式相比,前列腺增生症患者实施电切术治疗后三步尿管拔除模式干预的临床疗效更优,更能减轻患者痛苦,并可显著降低并发症发生率。Objective To investigate the effect of three-step urethral catheter removal mode and traditional urethral catheter removal mode on the clinical efficacy of patients with prostatic hyperplasia after electrotomy.Methods A total of 200 patients with prostatic hyperplasia admitted to the Department of Urology of Affiliated Hospital of Youjiang Medical College for Nationalities from May 2020 to May 2022 were selected for prospective study and divided into two groups according to the random number table method,defined as the control group(n=100)and the observation group(n=100),both groups were treated with electrotomy,and postoperative triple-lumen urinary catheters(15 mL sterile saline was injected into the balloon)were left in place.The control group was treated with traditional urethral catheter removal mode and the observation group was treated with three-step urethral catheter removal mode.The patients in both groups were observed and compared for bleeding,pain,infection,incomplete urination or urinary retention conditions after urinary catheter removal.Results The hospital stay of observation group was significantly shorter than that of control group(P<0.05).The maximum flow rate(Qmax)and maximal detrusor pressure(Pdet-Qmax)were significantly higher in the observation group and bladder compliance(BC)and post-void residual urine volume(PVR)were significantly lower in the observation group than in the control group after treatment(P<0.05).The observation group had significantly better urinary comfort grading than the control group(P<0.05).The improvement of total bladder properties was significantly better in the observation group than in the control group at 3 and 6 months after surgery(P<0.05).The incidence of complications was significantly lower in the observation group than in the control group(P<0.05).Conclusions Compared with the traditional urethral catheter removal mode,the clinical efficacy of the three-step urethral catheter removal mode intervention in patients with prostatic hyperplasia after electroto

关 键 词：三步尿管拔除模式 前列腺增生症 电切术 传统尿管拔除模式 

分 类 号：R691[医药卫生—泌尿科学]