高危前列腺增生症患者TURP术中护理配合

Nursing cooperation of patients with high risk hyperplasia of prostate in TURP

目的 探讨对高危前列腺增生症患者进行经尿道前列腺电切（TURP）术中护理要点及方法.方法 对64例接受TURP治疗的高危前列腺增生症患者术中护理配合,包括术前健康宣教,心理护理,手术间和冲洗液的准备,体位的放置,预防和协助处理电切综合征（TURS）、低体温、低血压等术中并发症.结果 64例患者全部顺利接受TURP术,无一例中转开放,电切时间（60±15）分钟,术中1例出现TURS,3例改变体位或过床时出现低血压,及时处置均得到有效控制.结论 充分的术前准备、正确安置手术体位、严密的术中观察等护理配合能保证手术的顺利实施并加快手术速度,预防和减少并发症,增加手术安全性.

Objective To study the intraoperative nursing key points and methods on the high risk of prostate hyperplasia patients by transurethral prostate （TURP）.Methods 64 patients underwent TURP treatment of high risk with hyperplasia of prostate with intraoperative care,including preoperative psychological nursing,surgery and rinses,the placement of posture,the prevention and handling cutting syndrome （TURS） intraoperative complications,low temperature,low blood pressure,etc.Results 64 patients were all successfully treated by TURP,no open,cutting time to （60 ± 15） mins,1 case of TURS,and 3 cases occur hypotension whiled changed body position or moving bed,intraoperative timely measurement was conducted to get effective control.Conclusion Sufficient preoperative preparation,correct position placement surgery,intraoperative close observation of nursing cooperation can speed up the operation,reduce the complications and increase operation safety.