前列腺电切除术后患者的中医护理干预

TCM Nursing Intervention for the Patients After TURP

目的评价中医护理干预对经尿道前列腺电切除术治疗的前列腺增生患者的护理效果。方法:将126例患者按就诊顺序随机分为2组,每组63例。对照组施以常规护理,观察组在常规护理的基础上施以情志护理、艾灸和穴位按摩护理、功能锻炼、辨证膳食护理等中医护理干预措施。比较2组留置导尿管时间、住院时间、最大尿流率和前列腺组织切下质量;比较2组治疗前后的生活质量(QCL)评分以及国际前列腺症状量表(IPSS)评分;观察2组术后并发症发生情况。结果总有效率、并发症发生率观察组分别为90.48%、20.63%,对照组分别为73.02%、50.79%2组比较差异均有统计学意义(P<0.05)。QCL评分和IPSS评分治疗前后2组组内比较差异有统计学意义(P<0.05);治疗后IPSS评分组间比较差异也有统计学意义(P<0.05)。留置导尿管时间、住院时间、最大尿流率、前列腺组织切下质量2组比较差异有统计学意义(P<0.05)。结论:中医护理干预可提高经尿道前列腺电切除术治疗的前列腺增生患者的临床疗效,改善临床症状,提高生活质量,减少并发症的发生。

Objective:To assess nursing effects of TCM nursing intervention on the patients with prostatic hyperplasia after transurethral resection of prostate(TURP).Methods:All 126 patients were randomized into two groups according to the visiting order,63 cases each group.The control group were given conventional care,and the observation group TCM nursing intervention measures including emotional care,moxa-moxibustion,acupoint massage nursing,functional exercise,syndrome differentiation dietary care and others based on conventional nursing.To compare indwelling catheter time,hospitalization time,maximum urinary flow rate and prostatic tissue cutting quality between both groups;to compare QOL scores and IPSS scores before and after treating between both groups;and observe the incidence of postoperative complications.Results:Total effective rate and complication incidence of the observation group were 90.48% and 20.63% respectively,while these of the control group were73.02% and 50.79%,and the difference showed statistical meaning(P <0.05).The difference was statistically significant in QOL scores and IPSS scores within two groups before and after treating(P<0.05);the difference could be found between both groups after treating(P <0.05).The difference showed statistical meaning in indwelling catheter time,hospitalization time,maximum urinary flow rate and prostatic tissue cutting quality between both groups(P<0.05).Conclusion:TCM nursing intervention could enhance curative effects of the patients after TURP,improve clinical symptoms,raise quality of life and reduce the complication incidence.