经尿道前列腺腔内剜除术后持续膀胱冲洗的停止时间

Opportunity of non-bladder perfusion after transurethral enudeation and resection of prostate

目的探讨经尿道前列腺腔内剜除术（nJERP）术后持续膀胱冲洗停止的最佳时间。方法将印例术后留置持续膀胱冲洗的患者按随机数字表法随机分成对照组和观察组各30例，观察组术后24h内停止持续膀胱冲洗，对照组术后72h后停止持续膀胱冲洗，比较两组患者冲洗停止后下床活动时间、尿路感染及膀胱痉挛发生率和生活质量评分。结果观察组开始下床活动时间为（24．1±2．23）h，对照组为（76．2±4．12）h，组间比较差异有统计学意义（t=60．904，P〈0．01）。观察组发生膀胱痉挛1例，无尿路感染发生，对照组发生膀胱痉挛9例，尿路感染10例，组间比较差异具有统计学意义（x2分别为7．680，12．000；P均〈0．05）。观察组患者1个月后生活质量（QOL）评分为（0．75±0．15）分，对照组为（1．50±0．31）分，组间比较差异具有统计学意义（t=-11．995，P〈0．01）。结论经尿道前列腺剜除术术后24h内停持续膀胱冲洗可以提早患者下床活动时间，降低尿路感染及膀胱痉挛发生率，提高患者生活质量。

Objective To investigate the opportunity of non-bladder perfusion after transurethral enucleation and resection of prostate （TUERP）. Methods Sixty patients suffered from TUERP were divided into two groups according to random number with 30 patients in each group . The observation group was halted bladder perfusion on the next day of operation, and the control group was halted after 3 d. The ambulation time, the rates of urinary tract infection and contraction of bladder and quality of life were recorded and analyzed. Results Contraction of bladder in 1 case and no urinary tract infection happened in the observation group and 9 cases and 10 cases in the control group respectively; the differences between the two groups were significant （x2 =7. 680,12. 000, respectively; P 〈 0. 05 ）. Score of QOL one month later in the observation group was （0.75± 0.15 ） and （ 1.50 ± 0.31 ） in the control group, and the difference was significant （ t = - 11. 995, P 〈 0. 01 ）. Conclusions The halted bladder perfusion in the next day after operation can decrease ambulation time, decrease the rates of urinary tract infection and contraction of bladder and improve quality of life.