苏建红　曾赛丽　罗秀庭

【摘要】 目的 分析对经尿道前列腺电切术患者实施综合护理干预的临床效果及对尿失禁的影响。方法 80例良性前列腺增生症患者， 按照抽签法分为对照组和观察组， 每组 40例。两组均行经尿道前列腺电切术治疗， 对照组开展泌尿外科常规护理， 观察组在对照组基础上实施综合护理干预措施。比较两组治疗效果。结果 观察组焦虑自评量表（SAS）评分为（36.35±7.92）分， 抑郁自评量表 （SDS）评分为（35.40±7.71）分， 低于对照组的（51.44±9.50）、（52.61±8.77）分， 差异有统计学意义（P<0.05）。对照组膀胱痉挛3例、继发性出血3例、尿失禁2例、尿路感染1例， 并发症发生率为22.5%；观察组仅膀胱痉挛1例， 并发症发生率为2.5%；两组并发症发生率比较差异有统计学意义（P<0.05）。结论 经尿道前列腺电切术后开展综合护理干预可有效改善患者负性情绪， 巩固手术疗效， 避免术后尿失禁等并发症的发生， 值得临床推广。

【关键词】 前列腺增生症；经尿道前列腺电切术；尿失禁；综合护理干预

DOI：10.14163/j.cnki.11-5547/r.2016.16.158

【Abstract】 Objective To analyze clinical effect by comprehensive nursing intervention for transurethral resection of prostate patients and influence on uracratia. Methods A total of 80 benign prostatic hyperplasia patients were randomly divided into control group and observation group， with 40 cases in each group. Both groups received transurethral resection of prostate， the control group received conventional urology nursing， and the observation group also received additional comprehensive nursing intervention. Curative effects were compared between the two groups. Results The observation group had better self-rating anxiety scale （SAS） score as （36.35±7.92） points and self-rating depression scale （SDS） score as （35.40±7.71） points than （51.44±9.50） and （52.61±8.77） points of the control group. Their difference had statistical significance （P<0.05）. There were 3 cases with cystospasm， 3 cases with secondary hemorrhage， 2 cases with uracratia， and 1 case with urinary tract infection in the control group， with incidence of complications as 22.5%. There was only 1 case with cystospasm in the observation group， with incidence of complications as 2.5%. The difference of incidence of complications between the two groups had statistical significance （P<0.05）. Conclusion Implement of comprehensive nursing intervention after transurethral resection of prostate can effectively relieve negative emotion， enhance surgical effect and avoid complications of uracratia. This method is worth clinical promotion.

【Key words】 Prostatic hyperplasia； Transurethral resection of prostate； Uracratia； Comprehensive nursing intervention

在良性前列腺增生症临床治疗术式中， 经尿道前列腺电切术是常用的一种新型术式， 其手术用时较短、术中出血量少、创伤刺激程度轻微且手术风险较低[1]， 因此得到临床和患者的认可， 并逐步推广普及。临床实践证实， 辅以有效的护理干预方案更有利于病情的恢复。本文探讨对经尿道前列腺电切术患者实施综合护理干预的临床效果及对尿失禁的影响。现作报告如下。

1 资料与方法

1. 1 一般资料 选取2014年4月～2015年4月本院泌尿外科收治的80例良性前列腺增生症患者， 纳入患者均为择期手术， 排除心脑血管疾病、手术禁忌证、神经内分泌系统或心、肝、肾等主要器官受损、语言认知或精神障碍、既往精神病史及癔病史者。按照抽签法将其分为对照组与观察组， 各40例。对照组年龄57～76岁， 平均年龄（62.2±4.6）岁；病程3～11年， 平均病程（4.5±2.1）年。观察组年龄58～77岁， 平均年龄（61.8±5.1）岁；病程2～12年， 平均病程（4.4±2.5）年。……