前列腺电切术后三通加热冲洗膀胱的应用

The urethra prostate electricity cut postoperative tee heating flushing the application of the bladder

目的探讨三通加热冲洗膀胱对术后膀胱痉挛的影响。方法经尿道前列腺电切术后患者128例随机分为两组,每组64例,常规组采用传统室温下的冲洗液持续膀胱冲洗;观察组采用三通加热法,设置温度35℃后持续膀胱冲洗。应用SPSS15.0软件,所获数据采用方差分析、t检验和2检验。结果两组冲洗量比较,P<0.05;冲洗时间比较,P>0.05。观察组术后发生膀胱痉挛15例,占23.44%;对照组术后发生膀胱痉挛27例,占42.19%。两组比较P<0.05。两组手术前后体温差、膀胱痉挛症状评分比较,P<0.0005;两组冲洗总费用比较,P>0.05。结论三通加热术后膀胱冲洗,冲洗时间短,减少膀胱痉挛,出血率、低体温率等,这种方法简单、安全有效值得推广。

Objective Explore the tee heating washing bladder on the effect of postoperative bladder spasm. Meth- ods through the urethra prostate electricity cut 128 cases of postoperative patients were randomly divided into two groups, 64 cases in each group, conventional group with traditional rinses continuous bladder irrigation at room tempera- ture; Observation group USES the tee heating method, continuous bladder irrigation after setting temperature 35 ~C. Using SPSS15.0 software, the data obtained using analysis of variance, t test and Z2 test. Results two groups of flushing a quan- tity, P〈0.05; The flush time comparison, P〉0.05. Observation group postoperative bladder spasm, 15 cases （23.44%）; The control group, postoperative bladder spasm 27 cases （42.19%）. Comparing the two groups P〈0.05. Two sets of tempera- ture difference, bladder spasm symptom scores before and after operation, P〈0.0005; Flush the total cost is two groups, P〉 0.05. Conclusion Tee heating washing bladder postoperatively, the flush time short and decrease the rate of bladder spasm, bleeding rate, rate of low body temperature, etc., this method is simple, safe and effective is worth promoting.