45例钬激光前列腺剜除术围术期的护理体会

Perioperative nursing of holmium laser enucleation of the prostate of 45 patients

目的探讨钬激光前列腺剜除术(HoLEP)的围术期护理。方法对45例因良性前列腺增生症(BPH)而导致膀胱出口梗阻(BOO)的患者采用钬激光剜除术,护理重点主要是术前做好患者的心理护理及术前准备,术后监测生命体征、注意膀胱冲洗的通畅、预防下肢静脉血栓、根据肠鸣音听诊嘱患者尽早饮水、做好术后健康指导和出院指导等。结果 45例接受钬激光前列腺剜除术的患者均无护理并发症发生,术后出血少,均顺利出院。结论做好前列腺增生患者的术前心理护理、术前准备,协助术后过床,监测术后生命体征,保证膀胱冲洗通畅,根据DVT评分采取预防下肢静脉血栓的护理措施,做好皮肤护理、术后康复锻炼、健康指导及出院指导等是钬激光前列腺剜除术患者顺利康复出院的有效保证,值得推广。

Objective To explore the perioperative nursing of holmium laser enucleation of the prostate （HoLEP）.Methods 45 patients with benign prostatic hyperplasia （BPH）and blad-der outlet obstruction （BOO）underwent holmium laser enucleation of the prostate.The nursing focused on psychological care and preoperative preparation,monitoring postoperative vital signs, the bladder flush unobstructed,preventing of lower limb venous thrombosis,telling patients drink water early according to the bowel sounds,postoperative health guidance and discharge guidance. Results 45 patients who underwent HoLEP had no complications,less postoperative bleeding and discharged from hospital successfully.Conclusion Preoperative psychological nursing for patients with hyperplasia of prostate,preoperative preparation,assisting postoperative bed,monitoring vi-tal signs,guaranteeing the bladder flush unobstructed,taking nursing measures to prevent the vein thrombosis of lower limbs according to DVT score,and skin care,postoperative rehabilitation exer-cise,health guidance and discharge guidance ensure the recovery and discharge from hospital.So it is worthy of promotion.