卫生巾在经尿道前列腺电切术后早期的应用

The application of female sanitary napkins in the early transurethral resection of the prostate

目的针对经尿道前列腺电切术（TuRP）后早期患者由于膀胱痉挛的发生，尿道口经常会有渗血、渗尿，探讨尿道口的有效护理方法。方法对2011年1月1日-2012年6月30E1225例TURP术后的患者，按护理方法不同分为观察组和对照组，观察组113例患者术后采用女性卫生巾环形包裹阴茎，裸露尿道口，渗血、渗液多时及时更换卫生巾，尿道口无渗血、渗液后停止使用卫生巾；对照组112例患者按照常规的护理方法，尿管接近尿道口处系无茵纱布，床单衣服有渗血、渗液时及时更换。比较2组患者术后24h的出血量、出血严重程度、患者的舒适度。结果通过比较，2组患者术后24h出血总量、出血严重程度、患者的舒适度比较均有统计学意义（P〈0．01）。结论女性卫生巾的使用避免了术后频繁的搬运患者，减少了引起TURP术后患者早期出血的机会，提高了患者的舒适度，同时减少了护理人员的工作量，值得在临床上推广。

Objective For transurethral resection of the prostate （ TURP ） in early postoperative patients with bladder spasm pain, urethral mouth often oozing of blood, urine leakage, explore the effective nursing method of urethral orifice.Methods From January in 2011 to December in 2011, there were 225 cases of patients after TURP, they were divided into observation group and control group by methods of care, 113 cases of observation group patients used female sanitary napkin ring wrapped penis, exposed urethra. In time the oozing exudate in a timely manner for a long time to replace the sanitary napkin, oozing exudate to stop the use of sanitary nap- kins in the urethra; control group of 112 patients in accordance with conventional methods of care, the urethra does not include any- thing, bed sheets clothes oozing exudate replaced. Comparison of two groups of patients with early postoperative bleeding, bleeding severity,patient comfort. Results Compared two groups patients the 24h of the total amount of bleeding, bleeding severity, patient comfort were statistically significant （P〈0.01）. Conclusion Using Female sanitary napkin reduced the opportunity of bleeding after TURP in patients with early, avoided postoperative frequent handling of patients, improved patient comfort, while reducing the workload of the nurses, it is worth in clinical practice.