膀胱冲洗智能专用架对前列腺电切术患者术后的影响
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摘要
目的探究膀胱冲洗智能专用架对前列腺电切术患者术后的影响。方法选择本科良性前列腺增生需电切术的患者140例,随机分为观察组70例和对照组70例,2组均进行电切术治疗,术后,对照组使用膀胱冲洗普通支架冲洗膀胱,观察组使用膀胱冲洗智能专用架冲洗膀胱,对比分析2组膀胱痉挛发生情况、出血量、凝血指标的变化及患者满意度。结果观察组膀胱痉挛总得分、痉挛发生次数及持续天数均显著低于对照组(P<0.05)。观察组膀胱冲洗持续时间、冲洗液总量均显著低于对照组(P<0.05)。治疗后,观察组活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FIB)水平与治疗前差异无统计学意义(P>0.05),而对照组APTT、PT水平显著高于治疗前及观察组治疗后(P<0.05),对照组FIB水平显著低于治疗前及观察组治疗后(P<0.05)。观察组满意度显著高于对照组(P<0.05)。结论良性前列腺增生患者电切术后应用膀胱冲洗智能专用架,可有效改善其术后膀胱痉挛的发生,降低其术后出血量及改善术后凝血功能,患者满意度较高,具有临床推广意义。
Objective To investigate the postoperative effect of intelligent special frame for bladder irrigation in patients undergoing transurethral resection of prostate(TURP). Methods A total of 140 patients with benign prostatic hyperplasia(BPH), who were scheduled forTURP in our department, were included in the study and randomly divided into the study group and control group(n=70 each). Both groups were treated with TURP. After the operation, the control group received conventional frame for bladder irrigation, while the study group received intelligent special frame for bladder irrigation. The incidence of bladder spasm, volume of blood loss, changes of blood coagulation parameters and satisfaction of patients were compared between the two groups. Results The total score,frequency and duration of bladder spasm in the study group were significantly lower than those in the control group(P<0.05). The duration of bladder irrigation and the total volume of irrigation fluid in the study group were significantly lower than those in the control group(P<0.05). After the treatment, there were no significant differences in the levels of APTT, PT and FIB in the study group compared with those at the baseline(P>0.05). After the treatment, the levels of APTT and PT in the control group were significantly higher than those at the baseline and those in the study group(both P<0.05). After the treatment, the level of FIB in the control group was significantly lower than that at the baseline and that in the study group after the treatment(both P<0.05). The satisfaction of patients in the study group was significantly higher than that in the control group(P<0.05). Conclusion Using intelligent special frame for bladder irrigation after TURP in BPH patients may effectively improve the occurrence of bladder spasm, reduce the volume of blood loss and improve the blood coagulation function after operation with high satisfaction of patients,which justifies widespread use in the clinical settings.
Objective To investigate the postoperative effect of intelligent special frame for bladder irrigation in patients undergoing transurethral resection of prostate(TURP). Methods A total of 140 patients with benign prostatic hyperplasia(BPH), who were scheduled forTURP in our department, were included in the study and randomly divided into the study group and control group(n=70 each). Both groups were treated with TURP. After the operation, the control group received conventional frame for bladder irrigation, while the study group received intelligent special frame for bladder irrigation. The incidence of bladder spasm, volume of blood loss, changes of blood coagulation parameters and satisfaction of patients were compared between the two groups. Results The total score,frequency and duration of bladder spasm in the study group were significantly lower than those in the control group(P<0.05). The duration of bladder irrigation and the total volume of irrigation fluid in the study group were significantly lower than those in the control group(P<0.05). After the treatment, there were no significant differences in the levels of APTT, PT and FIB in the study group compared with those at the baseline(P>0.05). After the treatment, the levels of APTT and PT in the control group were significantly higher than those at the baseline and those in the study group(both P<0.05). After the treatment, the level of FIB in the control group was significantly lower than that at the baseline and that in the study group after the treatment(both P<0.05). The satisfaction of patients in the study group was significantly higher than that in the control group(P<0.05). Conclusion Using intelligent special frame for bladder irrigation after TURP in BPH patients may effectively improve the occurrence of bladder spasm, reduce the volume of blood loss and improve the blood coagulation function after operation with high satisfaction of patients,which justifies widespread use in the clinical settings.
引文
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[5]黄春红,陈小燕,颜燕卿,等.经尿道前列腺电切术后冲洗液温度对膀胱痉挛的影响[J].护理实践与研究,2015,12(6):17-18.
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[7]马芙蓉.膀胱冲洗液温度对前列腺切除术后膀胱痉挛的影响[J].中华现代护理杂志, 2007, 13(23):2206-2207.
[8]林升汉,黄卫,孙占玉,等.经尿道双极等离子电切术治疗良性前列腺增生的临床效果研究[J].湖南师范大学学报(医学版),2017,14(3):132-134.
[9]马学砚,安爱荣,李桂琴.不同温度冲洗液对前列腺电切术后并发症的影响[J].河北医学, 2016, 22(1):150-153.
[10]张钢,林毅枢,薛建.心脑血管事件高危人群经尿道前列腺电切术围手术期口服阿司匹林对术后出血的影响[J].血栓与止血学, 2016, 22(3):335-337.
[11]徐琦.经尿道前列腺术灌洗液温度对患者体温及凝血功能的影响[J/CD].实用临床护理学电子杂志,2017,2(2):172-173,175.
[2]朱翔,周剑,朱文静,等.中老年男性血清维生素D水平与良性前列腺增生的相关性[J].中国老年学杂志, 2017, 37(15):3767-3768.
[3]梁学清,于兵,李丹丹,等.经尿道前列腺汽化电切术联合钬激光碎石术同期治疗良性前列腺增生症合并膀胱结石的临床疗效[J].中国老年学杂志,2016,36(1):146-148.
[4]高扬,任峰,刘丽,等.冲洗速度对经尿道前列腺汽化电切术术后膀胱痉挛的影响[J].中国医药指南, 2016, 14(4):1,3.
[5]黄春红,陈小燕,颜燕卿,等.经尿道前列腺电切术后冲洗液温度对膀胱痉挛的影响[J].护理实践与研究,2015,12(6):17-18.
[6]张祥华,王行环,王刚,等.良性前列腺增生临床诊治指南[J].中华外科杂志, 2007, 45(24):1704-1707.
[7]马芙蓉.膀胱冲洗液温度对前列腺切除术后膀胱痉挛的影响[J].中华现代护理杂志, 2007, 13(23):2206-2207.
[8]林升汉,黄卫,孙占玉,等.经尿道双极等离子电切术治疗良性前列腺增生的临床效果研究[J].湖南师范大学学报(医学版),2017,14(3):132-134.
[9]马学砚,安爱荣,李桂琴.不同温度冲洗液对前列腺电切术后并发症的影响[J].河北医学, 2016, 22(1):150-153.
[10]张钢,林毅枢,薛建.心脑血管事件高危人群经尿道前列腺电切术围手术期口服阿司匹林对术后出血的影响[J].血栓与止血学, 2016, 22(3):335-337.
[11]徐琦.经尿道前列腺术灌洗液温度对患者体温及凝血功能的影响[J/CD].实用临床护理学电子杂志,2017,2(2):172-173,175.