输液增温器对前列腺电切术后患者膀胱痉挛的影响

目的探讨经尿道前列腺电切术后患者分别采用常温冲洗液和应用输液增温器控制冲洗液温度两种不同方法行持续膀胱冲洗,对患者膀胱痉挛发生情况的影响。方法将136例施行经尿道前列腺电切术的良性前列腺增生患者随机分为两组,每组各68例。对照组患者在室温下进行持续膀胱冲洗,实验组患者采用输液增温器将膀胱冲洗液温度控制在28-32℃进行持续膀胱冲洗。观察并比较两组患者术后持续冲洗期间膀胱痉挛的发生情况。结果实验组患者术后持续膀胱冲洗期间,膀胱痉挛的发生率明显低于对照组,差异存在统计学意义(P<0.05)。结论经尿道前列腺电切术后,用输液增温器将膀胱冲洗液温度控制在28-32℃进行膀胱冲洗,能有效减少膀胱痉挛的发生,减轻患者的痛苦,利于术后恢复。

Objective To investigate the occurrences of cystospasm under two different bladder irrigations after per urethra electrocision of prostate： continuous bladder irrigation at room temperature in routine method and continuous bladder irrigation with douche wanned in a transfusion wanner. Methods 136 patients with benign prostatic hyperplasia （BPH） after treated with per urethra electrocision of prostate were evenly divided into two groups at random. The patients in the control group and the experiment group were managed by continuous bladder irrigation at room temperature in routine method and with douche warmed in a wanner between 28-32℃, respectively. The incidences of cystospasm in the two groups were compared. Result The incidence of cystospasm in the experiment group was significantly lower than that in the control group （P 〈 0.05）. Conclusion Continuous bladder irrigation with douche warmed in a warmer at the temperature of 28-32℃ after per urethra electrocision can effectively lower the incidence of cystospasm, reduce the pains and promote postoperative recovery.