目的 評(píng)價(jià)云南白藥膠囊在減少經(jīng)尿道前列腺電切術(shù)(TURP)術(shù)中出血的療效與安全性.方法 采用隨機(jī)、雙盲、對(duì)照的試驗(yàn)方法,將40例接受TURP手術(shù)的患者隨機(jī)分為試驗(yàn)組和安慰劑組.試驗(yàn)組(n=20)術(shù)前3天起口服云南白藥膠囊,每次0.25 g/粒,2粒,一日4次.對(duì)照組(n=20)術(shù)前3天起口服空白淀粉膠囊.術(shù)中監(jiān)測(cè)沖洗液的出血總量、腺體出血指數(shù)、出血強(qiáng)度,比較兩組住院時(shí)間、尿管保留時(shí)間及術(shù)后膀胱沖洗的時(shí)間.結(jié)果 試驗(yàn)組在TURP出血總量、腺體出血指數(shù)及出血強(qiáng)度明顯低于對(duì)照組,其差異有統(tǒng)計(jì)學(xué)意義(Plt;0.05);但平均住院時(shí)間、術(shù)后保留尿管時(shí)間和術(shù)后膀胱沖洗時(shí)間與對(duì)照組比較,其差異均無統(tǒng)計(jì)學(xué)意義(Pgt;0.05).用藥期間,兩組均無明顯毒副反應(yīng)發(fā)生.結(jié)論 云南白藥膠囊能減少TURP術(shù)中出血量,且無明顯副作用,是一種安全有效的術(shù)后止血方法.
摘要:目的:探討良性前列腺增生經(jīng)尿道前列腺電切術(shù)圍手術(shù)期的護(hù)理經(jīng)驗(yàn)。方法:回顧性分析96例良性前列腺增生患者臨床資料。結(jié)果:96例患者手術(shù)順利,圍手術(shù)期經(jīng)周密的護(hù)理,療效滿意,無明顯并發(fā)癥。結(jié)論:周密的手術(shù)期護(hù)理對(duì)經(jīng)尿道前列腺電切術(shù)治療老年良性前列腺增生十分重要。Abstract: Objective: To investigate the perioperative nursing care of transurethral prostatic resection (TURP). Methods: The data of 96 TURP cases were analyzed retrospectively. Results: All the operations were performed successfully, and there were no obvious complications among the patients with precise nursing care. Conclusion: It is very important for precise nursing care to the patients who underwent TURP.
摘要:目的:探討經(jīng)尿道前列腺電切術(shù)中糖尿病患者血糖變化以及處理對(duì)策。方法:2006年7月~ 2009年1月共對(duì)80例患有前列腺增生合并糖尿病患者行TURP,同期對(duì)80例單純性前列腺增生患者進(jìn)行相同手術(shù),回顧分析其術(shù)前、術(shù)中30 min、60 min、90 min 指尖血糖變化及干預(yù)情況。結(jié)果:治療組80例患者,51例術(shù)中血糖值明顯低于術(shù)前,分別為1.8～3 mmol/L;對(duì)照組術(shù)前與術(shù)中血糖值基本一致,血糖波動(dòng)于4.5～5.6 mmol/L。結(jié)論:糖尿病患者糖的儲(chǔ)備能力差,在行經(jīng)尿道電切術(shù)中易發(fā)生低血糖綜合征,術(shù)中及時(shí)的血糖監(jiān)測(cè)及干預(yù)對(duì)保證患者的安全有重要意義。Abstract: Objective: To study the changes and measures against the glucose in the operation of the Diabetes by TURP. Methods:Eighty patients with prostate combining diabetes operated from July 2006 to Jan. 2009 were reviewed, and 80 prostate treated at the same period with the same operation measure were selected as control. The preoperative glucose, intraoperative glucose (30′, 60′,90′) of fingertip, and countermeasures were studied and compared between the two groups. Results:Fiftyone cases of the experimental group of intraoperative blood glucose was significantly lower than preoperative values, respectively 1.83 mmol/ L; control group preoperative and intraoperative blood glucose values were basically the same, blood glucose fluctuations in the 4.55.6 mmol/L. Conclusion: The capacity in patients with diabetes is poor, easy to hypoglycemia syndrome in the act of TURP surgery, intraoperative blood glucose monitoring and timely intervention to ensure patient safety significance.