三通管在经尿道前列腺切除术中的应用与护理
Application of three-way pipe in transurethral resection of prostate and nursing care during operation
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摘要: 目的: 观察三通管在经尿道前列腺切除术中的应用效果,并探讨护理体会。方法: 94例良性前列腺增生症患者按入院顺序随机分成2组,在经尿道前列腺切除术时,对照组48例膀胱造瘘后直接接膀胱造瘘管,观察组46例行膀胱造瘘后接三通管引流冲洗液。记录2组手术时间和术中引流管堵塞次数,计算出血量。结果: 观察组平均手术时间90 min,引流管堵塞1次,平均出血量46 ml;对照组平均手术时间110 min,造瘘管堵塞96次,平均出血量466 ml,2组差异均有统计学意义(P <0.05)。结论: 三通管在经尿道前列腺切除术中引流效果满意,易于推广。Abstract: Objective: To explore the role of three-way pipe in transurethral resection of prostate (TURP) and to sum up the nursing experience during operation. Methods: Forty-six cases in the experimental group were performed routine bladder colostomy followed by the drainage rinses and 48 cases in the control group were contacted directly to the flow pipe. The operation time,frequency of intraoperational drainage tube jam and bleeding volume during operation were recorded. Results: The average operation time was 110 minutes in the control group and 90 minutes in the experimental group. Intraoperational drainage tube jam occurred for 96 times in the experimental group and 1 time in the control group. The average bleeding volume was 466 ml in the control group and it was only 46 ml in the experimental group. The difference was significant (P < 0.05). Conclusions: The effect of three-way pipe is satisfactory for drainage in TURP and is easy to popularize.