前列腺绿激光汽化术后保留尿管腹部外固定改良及评估

doi:10.3969/j.issn.1007-3205.2020.05.015

河北医科大学学报

前列腺绿激光汽化术后保留尿管腹部外固定改良及评估

河北医科大学第二医院泌尿外科，河北石家庄 050000

出版日期:2020-05-25 发布日期:2020-06-04
作者简介:史蕾（1981-），女，河北藁城人，河北医科大学第二医院主管护师，护理学硕士，从事泌尿外科疾病护理研究。
基金资助:
河北省医学科学研究重点课题（2D20140499）

Improvement and evaluation of abdominal external fixation with catheter preserved after prostate green laser vaporization

Department of Urinary Surgery, the Second Hospitial of Hebei Medical University, Shijiazhuang 050000, China

Online:2020-05-25 Published:2020-06-04

摘要/Abstract

摘要： ［摘要］
目的探讨尿管腹部外固定法在前列腺绿激光汽化术（greenlight photoselective vaporization of the prostate，PVP）后患者的应用效果。
方法采用目的抽样法，选取行PVP患者172例，对照组83例，观察组89例。对照组术后尿管给予常规大腿外侧上1/3外固定法，观察组术后尿管采用腹部外固定法。比较2组活动后尿液颜色改变的发生率、留置尿管期间的满意度及尿管外固定装置的牢固性。
结果观察组活动后尿液颜色变红改变的发生率明显低于对照组，观察组患者留置尿管期间在舒适度、方便度、保护隐私方面的满意度及满意度总分均高于对照组，观察组尿管外固定装置的牢固性优于对照组，差异均有统计学意义（P＜0.05）。
结论 PVP术后尿管固定于腹部可减少患者活动后出血的发生率，促进康复，提高留置尿管期间的满意度，值得临床推广。

关键词: 经尿道前列腺切除术, 留置尿管, 外固定法

Abstract: ［Abstract］ Objective〖HTSS〗To explore the effect of external fixation of urethral tube and abdomen in patients after greenlight photoselective vaporization of the prostate（PVP）.
〖WTHZ〗Methods〖HTSS〗A total of 172 patients who underwent PVP were selected by objective sampling, 83 patients in the control group and 89 patients in the observation group. The control group received routine external fixation of upper 1/3 of the lateral thigh catheter, and the observation group received abdominal external fixation of the catheter. The incidence of urine color change, satisfaction during indwelling and the firmness of external fixation were compared between two groups.
〖WTHZ〗Results〖HTSS〗The occurrence rate of urine color reddening in the observation group was significantly lower than that in the control group. The satisfaction and total satisfaction of patients in the observation group in terms of comfort, convenience, privacy protection were higher than those in the control group. The firmness of external fixation device in the observation group was better than that in the control group, and the difference was statistically significant(P＜0.05).
〖WTHZ〗Conclusion〖HTSS〗Fixing urinary catheter on the abdomen in patients after PVP can reduce the incidence of bleeding, promote the recovery of patients, and improve the satisfaction during the period of indwelling catheter, which is worthy of clinical promotion.

Key words: greenlight photoselective vaporization of the prostate, indwelling catheter, external fixation, abdomen

史蕾，徐辉，陈军肖，刘姣姣，葛宏，齐进春*. 前列腺绿激光汽化术后保留尿管腹部外固定改良及评估[J]. 河北医科大学学报, doi: 10.3969/j.issn.1007-3205.2020.05.015.

SHI Lei, XU Hui, CHEN Jun-xiao, LIU Jiao-jiao, GE Hong, QI Jin-chun*. Improvement and evaluation of abdominal external fixation with catheter preserved after prostate green laser vaporization[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.1007-3205.2020.05.015.

[1]	阚金龙1，刘健2，国平英3，常学良3，齐进春3,安淑惠3*. 经尿道双极等离子前列腺剜除术与经尿道等离子前列腺切除术治疗前列腺增生症的疗效对比[J]. 河北医科大学学报, 2020, 41(5): 562-565.
[2]	田青川, 杨晓春, 孙海军. 羟考酮用于经尿道前列腺电切术老年患者喉罩全身麻醉的效果[J]. 河北医科大学学报, 2020, 41(10): 1185-1189.
[3]	王〓竞1，时少显1，和学强1，李海涛1，段晓亮2，孙〓波3. 等离子电切与激光汽化治疗良性前列腺增生临床效果及对IPSS、QOL、Qmax、PVR的影响[J]. 河北医科大学学报, 2019, 40(2): 169-173.
[4]	刘龙强1,白如玉1，汪〓峰2,刘〓安1,何海宝1*. PKRP对BPH患者前列腺功能与血清前列腺特异抗原水平的影响[J]. 河北医科大学学报, 2018, 38(8): 921-924,928.
[5]	谭文昌1，何晶晶2，于晓明1. 1 470 nm激光气化术和经尿道前列腺电切术治疗良性前列腺增生的效果分析[J]. 河北医科大学学报, 2016, 37(11): 1279-1281,1301.
[6]	夏海波，任晓磊，包国昌，高志明，李海峰. 1 470 nm激光“五分法”汽化切除术治疗BPH 63例[J]. 河北医科大学学报, 2016, 37(10): 1119-1122.
[7]	王锦涛;张秀利;尚红燕;陈文峰;陈宏洋. 经尿道前列腺电切术合并电切综合征27例[J]. , 2012, 33(10): 1216-1216.
[8]	梁立彬;梁长春;康利玲;段娜;左岩;刘巍. 2μm激光与经尿道汽化电切治疗前列腺增生疗效比较[J]. , 2011, 32(7): 841-841.
[9]	章启航. 高龄患者经尿道前列腺电切除手术的硬膜外麻醉管理分析[J]. , 2011, 32(4): 471-471.
[10]	刘忠;何书一. 经尿道前列腺汽化电切术在BPH中的应用[J]. , 2011, 32(12): 1472-1472.
[11]	胡利红. 经尿道前列腺气化电切术的观察与护理[J]. , 2008, 29(6): 908-908.

前列腺绿激光汽化术后保留尿管腹部外固定改良及评估

Improvement and evaluation of abdominal external fixation with catheter preserved after prostate green laser vaporization

HTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 11

编辑推荐

Metrics

本文评价