经尿道等离子前列腺剜除术对老年前列腺增生的疗效及睡眠质量影响  

Efficacy of Transurethral Plasma Enucleation of the Prostate on Elderly Patients with Benign Prostatic Hyperplasia and Its Impact on Sleep Quality

作　　者：夏小韬 XIA Xiaotao(Department of Urology,Shaowu Municipal Hospital,Shaowu 354000,China)

机构地区：[1]福建邵武市立医院泌尿外科,邵武354000

出　　处：《世界睡眠医学杂志》2024年第12期2709-2712,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨前列腺增生患者经尿道等离子前列腺剜除术治疗的疗效及对睡眠的影响。方法:选取2023年6月至2024年6月福建邵武市立医院泌尿外科行微创手术治疗的老年前列腺增生患者86例作为研究对象,按照抽签法分为对照组和观察组,每组43例。对照组经尿道前列腺切除术治疗,观察组经尿道等离子前列腺剜除术治疗。比较2组手术一般指标、匹兹堡睡眠指数量表(PSQI)、睡眠状况、术后并发症、排尿功能。结果:观察组术后下床活动时间、住院时间、术中出血量指标低于对照组,差异有统计学意义(P<0.05)。治疗前,2组患者PSQI评分比较,差异无统计学意义(P>0.05);治疗后,观察组PSQI评分更低,差异有统计学意义(P<0.05)。治疗前,观察组入睡时间、失眠频率比较,差异无统计学意义(P>0.05);治疗后,观察组入睡时间、失眠频率均更低,差异有统计学意义(P<0.05)。观察组术后失眠等并发症发生率低于对照组,差异有统计学意义(P<0.05)。治疗前,2组国际前列腺症状(IPSS)、残余尿流量(PVR)比较,差异无统计学意义(P>0.05);治疗后,观察组IPSS、PVR低于对照组,差异有统计学意义(P<0.05)。结论:采用经尿道等离子前列腺剜除术进行老年前列腺增生的治疗,能够促进患者康复,改善术后睡眠质量,降低失眠症的风险,使其前列腺功能得以恢复。Objective:To evaluate the therapeutic effects of transurethral plasma enucleation of the prostate(TUEP)on elderly patients with benign prostatic hyperplasia(BPH)and its influence on sleep quality.Methods:A total of 86 elderly patients with BPH who underwent minimally invasive surgery at the Department of Urology,Shaowu Municipal Hospital,from June 2023 to June 2024 were enrolled in this study.Patients were randomly divided into a control group(n=43)treated with transurethral resection of the prostate(TURP)and an observation group(n=43)treated with TUEP.General surgical outcomes,Pittsburgh Sleep Quality Index(PSQI)scores,sleep status,postoperative complications,and urinary function were compared between the two groups.Results:The observation group exhibited shorter postoperative ambulation and hospital stay times and lower intraoperative blood loss compared to the control group,with statistically significant differences(P<0.05).Pre-treatment PSQI scores showed no significant difference between the groups(P>0.05),but post-treatment PSQI scores were significantly lower in the observation group(P<0.05).Additionally,the observation group reported shorter sleep onset times and lower insomnia frequency post-treatment,with statistically significant differences(P<0.05).The incidence of insomnia and other complications was significantly lower in the observation group(P<0.05).Furthermore,while pre-treatment International Prostate Symptom Scores(IPSS)and post-void residual volume(PVR)were comparable between the groups(P>0.05),post-treatment IPSS and PVR were significantly lower in the observation group(P<0.05).Conclusion:TUEP is an effective treatment for elderly patients with BPH,promoting recovery,improving postoperative sleep quality,reducing insomnia risk,and restoring prostate function.

关 键 词：前列腺增生 失眠症 睡眠障碍 经尿道等离子前列腺剜除术 电切术 老年人 康复 前列腺功能 

分 类 号：R697.32[医药卫生—泌尿科学] R338.63[医药卫生—外科学]