经激光汽化术治疗高危前列腺增生症病人的围手术期精细化护理

Refinementof perioperative nursing care of high-risk patients with prostatic hyperplasia treated by laser vaporization

目的探讨经激光汽化术治疗高危前列腺增生症病人的围手术期护理方法。方法回顾性分析并总结皖南医学院第二附属医院2016年3月至2017年8月间采用1 470 mm激光治疗的40例高危前列腺增生病人资料。结果 40例病人手术均获成功,手术时间为(42.1±10.3) min,术后膀胱冲洗时间为(22.6±7.6) h,尿管保留时间为(4.2±0.5) d,术后住院时间为(15.9±6.4) d。随访6个月,病人排尿情况显著改善,未出现尿路感染、二次出血、尿道狭窄、永久性尿失禁等并发症,护理满意度100%。结论对激光汽化术治疗的高危前列腺增生病人应用精细化护理方法能提高护理满意度、无严重并发症发生、住院时间缩短,值得临床推广应用。

Objective To explore refinement care methods of perioperative nursing in high-risk patients with prostatic hyperplasia treated by laser vaporization.Methods Clinical data of 40 high-risk patients with prostatic hyperplasia treated by 1470 nm laser in The Second Affiliated Hospital of Wannan Medical College from March 2016 to August 2017 were retrospectively analyzed and summarized.Results Forty patients were successfully operated.The time of operation was(42.1±10.3)min,the time of bladder irrigation was(22.6±7.6)h,the retention time of the urinary catheter was(4.2±0.5)d,and the time of postoperative hospitalization was(15.9±6.4)d.After 6 months of follow-up,the voiding condition of patients was obviously improved.No serious complications including urinary tract infection,repeated bleeding,urethrostenosis and permanent urinary incontinence occurred,and the patients satisfaction with nursing care was 100%.Conclusion Refinement of perioperative nursing care for high-risk patients with prostatic hyperplasia treated by laser vaporization could improve nursing satisfaction,reduce complications risk and shorten the time of hospitalization,thus is worthy of clinical application.