膀胱冲洗液温度控制对改良前列腺剜切术后患者康复的影响
The Effect of Temperature Control of Bladder Irrigating Solution on the Rehabilitation of Patients after Improved Enucleation of Prostate

作者: 梁玲玲 , 孙琴琴 , 张国飞 :新疆医科大学第六附属医院,新疆 乌鲁木齐; 张秀华 :新疆医科大学第三附属医院,新疆 乌鲁木齐;

关键词: 膀胱冲洗温度四分区剜切术护理Bladder Irrigating Temperature Four-Area Division Transurethral Plasmakinetic Enucleation of Prostate Nursing Quality

摘要:
目的:探讨和比较不同温度冲洗液对膀胱冲洗的效果,从护理角度分析影响“低压灌注下经尿道四区分割法等离子体前列腺剜切术(four-area division transurethral plasmakinetic enucleation of prostate, FPKEP)”后发生膀胱痉挛和出血的相关因素。方法:对2011年6月~2013年6月间行剜切术的119例患者进行随机分组,实验组60例,对照组59例。实验组给予接近人体生理体温(35℃ ± 2℃)的冲洗液,对照组给予室温(22℃ ± 2℃)的冲洗液,分别进行膀胱冲洗,观察记录两组患者术后膀胱冲洗时间、冲洗液量、膀胱痉挛发生次数、出血情况、留置尿管时间、住院天数以及护理满意度。结果:实验组膀胱冲洗时间、冲洗液量、膀胱痉挛发生次数、出血情况、留置尿管时间以及住院天数均低于对照组,而患者满意度实验组高于对照组,P < O.05差异有统计学意义。结论:膀胱冲洗液温度对术后膀胱痉挛和出血情况有直接影响。用接近人体生理体温(35℃ ± 2℃)的冲洗液对膀胱进行冲洗,可减少术后并发症,提高治疗效果及患者满意度。

Abstract: Objective: To evaluate the influence of rinse solution at different temperatures on bladder spasm and bleeding after the four-area division plasmakinetic enucleation of prostate under low-pres- sure perfusion. Methods: The 119 patients who underwent enucleation from June 2011 to 2013 were randomly assigned to receive irrigating solution at physiological temperature (35℃ ± 2℃) of 60 cases or to receive irrigating solution at room temperature (22℃ ± 2℃) of 59 cases. The indices, such as washing time, volume of the solution, convulsion, bleeding, indwelling catheter time, HOD, and nursing satisfaction were observed and recorded in both groups of patients. Results: The treatment parameters and adverse reactions of experimental group were lower than those of con-trol group, while patient satisfaction was much higher when compared with that of control group. The difference was statistically significant (p < 0.05). Conclusion: The temperature of irrigating fluid has a direct effect on postoperative bladder spasm and bleeding. Using irrigating solution at physiological temperature could obviously reduce complications and improve the clinical efficacy and patient satisfaction.

文章引用: 梁玲玲 , 张秀华 , 孙琴琴 , 张国飞 (2015) 膀胱冲洗液温度控制对改良前列腺剜切术后患者康复的影响。 护理学, 4, 13-18. doi: 10.12677/NS.2015.42003

参考文献

[1] 李清杰, 刘运喜 (2010) 医院感染防控指南. 人民军医出版社, 北京, 466-468.

[2] 胡必杰, 刘荣辉, 陈文森 (2013) 医院感染与控制临床实践指引. 上海科学技术出版社, 上海, 240-243.

[3] 赵慧荣, 郑秀芬, 王秀艳, 等 (2014) 老年住院患者导尿管相关尿路感染的调查. 中国感染控制杂志, 13, 434- 435.

[4] 张玉海, 邵强 (2001) 前列腺外科学. 人民卫生出版社, 北京, 201-276.

[5] 韦贵剑 (2013) 前列腺切除术后膀胱冲洗引起膀胱痉挛的临床研究. 现代诊断与治疗, 3, 573-574.

[6] 刘熙婵, 林素琼, 凌泽凤 (2010) 膀胱冲洗液温度对经尿道前列腺电切术后膀胱痉挛的影响. 现代临床护理, 4, 18-19.

[7] 吴越, 张国飞, 邓玮 (2011) 低压灌注经尿道前列腺四区分割法等离子体剜切术治疗前列腺增生的临床研究. 中华腔镜泌尿外科杂志(电子版), 2, 55-58.

[8] 解丹, 郑瑾, 苏兰若 (2011) 两种膀胱冲洗液温度对经尿道前列腺电切除术后出血和膀胱痉挛的影响. 中华护理杂志, 4, 334-336.

[9] 谢细霞, 刘次云, 冯仲信 (2009) 冲洗液温度对近尿道前列腺电切术患者的影响. 海南医学, 1, 57-58.

[10] 李加, 何湘军, 朱碧丽 (2013) 膀胱冲洗液温度对经尿道等离子前列腺电切术后患者康复的影响. 护理实践与研究, 18, 115-116.

[11] 贺峥, 江明媛, 谢玉兰 (2012) 输液恒温器在前列腺摘除术后膀胱冲洗中的应用. 当代护士(学术版), 10, 132- 133.

[12] 郑素君, 蒋亚 (2013) 前列腺切除术后膀胱冲洗护理干预的效果分析. 中国医刊, 2, 94-95.

[13] 赵小佩 (2010) 经尿道前列腺电切术后发生尿路感染的危险因子分析. 中华医院感染学杂志, 12, 2878-2880.

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