经尿道前列腺电切术后膀胱痉挛的原因分析及其护理

    By analyzing the causes for bladder spasm after transurethral resection of the prostate and nursing care

    • 摘要: 目的:探讨经尿道前列腺电切术(TURP)后患者发生膀胱痉挛的原因及有效的护理干预措施。方法:对262例TURP术治疗后发生膀胱痉挛的良性前列腺增生患者进行原因分析,针对不同原因给予相应护理。结果:TURP术后共发生膀胱痉挛89例,发生率33.9%。其中轻度52例,中度25例,重度12例;发生原因:心理因素65例,导尿管堵塞及固定不当36例,导尿管刺激、手术创伤18例,冲洗液温度及速度不当11例,腹压增高8例。经采取综合的治疗和护理措施,89例膀胱痉挛患者均得到恢复。结果:TURP术后给予早期心理护理、减少不良刺激、调整冲洗液温度及速度、消除腹压增高等因素可以减少膀胱痉挛。

       

      Abstract: Objective: To investigate the after transurethral resection of the prostate (TURP) causes occurred in patients with bladder spasm and effective nursing interventions. Method: analyzing the causes of patients with benign prostatic hyperplasia Bladder Spasm after TURP surgery was performed in 262 cases, according to the different reasons given corresponding nursing. The results of Results:TURP after operation, bladder spasm in 89 cases, the incidence was 33.9%. Including 52 mild cases, 25 moderate cases, 12 cases were severe; causes: psychological factors of 65 cases of catheter blockage, and inappropriate fixation in 36 cases, catheter stimulation, operation trauma in 18 cases, fluid temperature and speed in 11 cases, abdominal pressure increased in 8 cases. The treatment and comprehensive nursing measures, 89 cases of bladder spasm patients were recovered. Conclusion:TURP after of the early psychological care, reduce adverse stimulation, adjusting the temperature of irrigation fluid and speed, eliminate abdominal pressure and other factors can reduce bladder spasm.

       

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