摘要
[目的]观察前列腺电切术后膀胱痉挛发生情况,并分析相关因素,寻找其护理对策。[方法]选取前列腺电切手术病人180例(术后发生膀胱痉挛78例),回顾性分析护理对策并进行改进。[结果]精神因素、导尿管气囊注水量、膀胱冲洗液温度、尿管疼痛刺激等均可引起膀胱痉挛的发生,护理对策的改进可以减少膀胱痉挛的发生。[结论]通过对导尿管气囊注水量、膀胱冲洗液温度、术后硬膜外镇痛泵及镇静药物的应用等综合护理对策的改进对减少膀胱痉挛的发生有满意的效果。
Objective：To observe the occurrence of bladder spasms in patients after accepting transurethral prostatic resection （TURP）,to analyze the related factors and to seek for its nursing strategies. Methods：A total of 180 cases undergoing TURP were selected （including 78 cases with postoperative bladder spasm,accounting for 23.6%）,and nursing strategies were analyzed retrospectively and improved. Results：psychological factors,injection of water in aerocyst of urethral catheter,temperature of bladder irrigation fluid and catheter pain stimulation can cause bladder spasms. Improvement of nursing strategy can reduce the occurrence of bladder spasm. Conclusion：The injection of water through the balloon catheter,bladder irrigation fluid temperature,postoperative epidural analgesia pump and the application of sedative drugs,and improvement for all these comprehensive nursing measures can get the satisfactory effect for reducing the occurence of bladder spasm among patients accepting TURP.
出处
《全科护理》
2010年第24期2163-2164,共2页
Chinese General Practice Nursing
关键词
前列腺电切术
膀胱痉挛
护理
transurethral prostatic resection （TURP）
bladder spasm
related factors
nursing strategy
