梅忠礼福建省泉州市光前医院外一科，福建泉州　362321

围术期不同干预模式对前列腺电切术患者术后并发症发生率的影响

梅忠礼
福建省泉州市光前医院外一科，福建泉州362321

目的 探讨前列腺电切术围术期应用不同干预模式的临床价值。方法 选取2013年9月～2015年6月我院收治的前列腺增生患者98例，均接受经尿道前列腺电切术治疗，通过随机数字表法分为A、B两组，每组49例，A组实施预防性干预，B组实施围术期常规干预，观察两组患者术后并发症发生率、术后恢复情况及患者治疗满意度。结果 A、B两组患者术后并发症发生率分别为12.24%、28.57%，A组明显较低，差异有统计学意义（P＜0.05）；A组患者术后拔管、术后膀胱冲洗时间及术后住院时间与B组比较，明显较短，差异有统计学意义（P＜0.05）；A、B两组患者治疗总满意率分别为93.88%、77.55%，A组显著较高，差异有统计学意义（P＜0.05）。结论前列腺电切术患者围术期接受预防性干预治疗，能有效减少并发症，缩短康复时间，提高患者满意度，值得推广。

前列腺电切术；并发症；围术期；干预模式

［Abstract］Objective To probe into the clinical value of different intervention modes in the perioperative period of transurethral resection of prostate.Methods 98 patients with benign prostatic hyperplasiaand who accepted treatments in our hospital from September 2013 to June 2015 were taken as the research objects，and all patients were underwent transurethral resection of the prostate，while according to the random number table method they were divided into A and B two groups，49 patients in each group.The group A was treated with the preventive intervention while the group B treated with the routine intervention.Then，the incidence rate of postoperative complications，postoperative recovery and treatment satisfaction of patients of the two groups were observed.Results The incidence rate of postoperative complications of patients in the group A and group B respectively were 12.24%，28.57%，and the group A was significantly lower，the difference was statistically significant（P＜0.05）；After extubation，postoperative bladder irrigation time and postoperative hospital stay of patients in the group A were significantly shorter than those in the group B，the difference was statistically significant（P＜0.05）；And the total treatment satisfaction rate of patients in the A and B group were 93.88%，77.55%respectively，group A was significantly higher，the difference was statistically significant（P＜0.05）. Conclusion The preventive intervention treatment for the patients with transurethral resection of prostate in the perioperative period，which can reduce complications，shorten the recovery time，and improve patient satisfaction rate，thus it is worth to be promoted.

［Key words］Transurethral resection of prostate；Complication；Perioperative period；Nursing mode

前列腺增生是泌尿外科常见疾病，对患者正常生活与工作有严重损害。经尿道前列腺电切术是治疗前列腺增生的有效方法，但有报道指出［1］，患者术后易出现多种并发症，对术后康复、术后生活质量及患者满意度造成影响。在围术期实施有效干预措施，能降低并发症发生风险，改善患者生活质量。以往常规干预模式，无法对并发症起到针对性预防作用，因此患者术后并发症发生率较高，而预防性干预可根据并发症发生原因给予护理措施，针对性强。……