两种不同温度冲洗液对经尿道前列腺电切术患者膀胱痉挛的影响  

Effect of two different temperature rinses on bladder spasm in patients undergoing transurethral resection of prostate

作　　者：张冰冰 Zhang Bingbing(Department of Urology,the Fifth People′s Hospital of Fuyang City,Fuyang 236000,China)

机构地区：[1]阜阳市第五人民医院泌尿外科,阜阳236000

出　　处：《国际泌尿系统杂志》2024年第4期614-617,共4页International Journal of Urology and Nephrology

摘　　要：目的探讨经尿道前列腺电切术(TURP)后患者常规膀胱持续冲洗时,两种不同温度冲洗液对膀胱痉挛的影响。方法选取2020年9月至2022年4月本院住院的80例良性前列腺增生(BHP)患者的临床资料,按住院号最后一位数字的单双号将患者分为对照组和研究组,每组各40例。两组患者均用0.9%生理氯化钠溶液3000 mL冲洗液进行膀胱持续冲洗,研究组加温至35℃~37℃进行膀胱持续冲洗,对照组加温至20℃~25℃进行膀胱持续冲洗。观察两组患者在膀胱冲洗期间的膀胱痉挛发生次数、冲洗时间、冲洗液使用量及患者的护理满意度情况。结果研究组患者的膀胱痉挛发生次数少于对照组,差异有统计学意义(P<0.001);研究组患者的冲洗时间及冲洗液使用量均少于对照组,差异均有统计学意义(均P<0.001);研究组患者的术后护理满意度高于对照组,差异有统计学意义(P<0.001)。结论行TURP的BPH患者术后用接近人体体温的冲洗液进行膀胱持续冲洗,可以降低患者术后膀胱痉挛的发生风险、减少冲洗液使用量,缩短冲洗时间,促进愈后,从而提高患者的护理满意度,值得在临床推广。Objective To investigate the effects of two different temperature rinses on bladder spasm during continuous bladder irrigation after transurethral electroprostatectomy(TURP).Methods The clinical data of 80 patients diagnosed with benign prostatic hyperplasia(BPH)and admitted to our hospital between September 2020 and April 2022 were carefully selected.These patients were then divided into two groups,namely the control group and the study group,based on their odd or even hospitalization numbers.Each group consisted of 40 cases.The frequency of bladder spasm,the flushingtime,the amount of flushing solution used and the nursing satisfaction of patients in the two groups were observed during bladder irrigation.Results The frequency of bladder spasms in the study group was significantly lower than that in the control group(P<0.001).The flushing time and amount of flushing solution used in the study group were significantly reduced compared to those in the control group(all P<0.001).Postoperative nursing satisfaction was significantly higher in the study group compared to the control group(P<0.001).Conclusions For patients with BPH undergoing TURP,implementing continuous bladder irrigation using a solution maintained at body temperature can effectively mitigate the risk of bladder spasms,minimize fluid consumption,reduce flushing duration,facilitate recovery,and ultimately enhance patient satisfaction.Therefore,this approach holds significant potential for clinical application.

关 键 词：经尿道前列腺切除术 膀胱痉挛 冲洗液 

分 类 号：R699.8[医药卫生—泌尿科学]