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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

Effects of different irrigation fluid temperature on postoperative bleeding and cystospasm in patients after transurethral resection of the prostate

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【摘要】 目的探讨两种膀胱冲洗液温度对经尿道前列腺电切除(TURP)术后出血量和膀胱痉挛的影响。方法采用Excel电子表格程序完成试验分组的随机化,将96例TURP术后患者分为试验组(n=48)和对照组(n=48)。手术结束后,所有患者立即行持续膀胱冲洗。冲洗液温度:试验组为(35.50±1.50)℃,对照组为(26.18±0.82)℃。结果试验组术后膀胱冲洗液量少于对照组(P<0.05),且血块堵管、膀胱痉挛的发生率均低于对照组(P<0.05)。结论将冲洗液加温至(35.50±1.50)℃进行持续膀胱冲洗,可有效减轻TURP术后出血、膀胱痉挛等不良反应。

【Abstract】 Objective To investigate the effects of different irrigation fluid temperature on postoperative bleeding and cystospasm in patients after transurethral resection of the prostate(TURP).Methods Ninety-six patients after TURP were randomly divided into two groups.The patients received continuous bladder irrigation with warming irrigation fluid(35.50±1.50)℃ in the experimental group or room temperature irrigation fluid(26.18±0.82)℃ in the control group.Results Compared with the control group,the total volume of irrigation fluid in the experimental group was significantly fewer(P<0.05),and the incidence of catherter obstruction and cystospasm was significantly lower(P<0.05),which showed fewer postoperative bleeding.Conclusion Warming irrigation fluid at temperature(35.50±1.50)℃ can effectively reduce postoperative bleeding and lower the incidence of cystospasm in patients after TURP.

【关键词】 灌洗温度膀胱出血痉挛
【Key words】 IrrigationTemperatureUrinary BladderHemorrhage Spasm
【基金】 辽宁省自然科学基金立项课题(编号:20072094)
  • 【文献出处】 中华护理杂志 ,Chinese Journal of Nursing , 编辑部邮箱 ,2011年04期
  • 【分类号】R473.6
  • 【被引频次】109
  • 【下载频次】1356
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