前列腺绿激光汽化术后保留尿管腹部外固定改良及评估

Improvement and evaluation of abdominal external fixation with catheter preserved after prostate green laser vaporization

目的探讨尿管腹部外固定法在前列腺绿激光汽化术(greenlight photoselective vaporization of the prostate,PVP)后患者的应用效果。方法采用目的抽样法,选取行PVP患者172例,对照组83例,观察组89例。对照组术后尿管给予常规大腿外侧上1/3外固定法,观察组术后尿管采用腹部外固定法。比较2组活动后尿液颜色改变的发生率、留置尿管期间的满意度及尿管外固定装置的牢固性。结果观察组活动后尿液颜色变红改变的发生率明显低于对照组,观察组患者留置尿管期间在舒适度、方便度、保护隐私方面的满意度及满意度总分均高于对照组,观察组尿管外固定装置的牢固性优于对照组,差异均有统计学意义(P<0.05)。结论PVP术后尿管固定于腹部可减少患者活动后出血的发生率,促进康复,提高留置尿管期间的满意度,值得临床推广。

Objective To explore the effect of external fixation of urethral tube and abdomen in patients after greenlight photoselective vaporization of the prostate(PVP).Methods A total of 172 patients who underwent PVP were selected by objective sampling,83 patients in the control group and 89 patients in the observation group.The control group received routine external fixation of upper 1/3 of the lateral thigh catheter,and the observation group received abdominal external fixation of the catheter.The incidence of urine color change,satisfaction during indwelling and the firmness of external fixation were compared between two groups.Results The occurrence rate of urine color reddening in the observation group was significantly lower than that in the control group.The satisfaction and total satisfaction of patients in the observation group in terms of comfort,convenience,privacy protection were higher than those in the control group.The firmness of external fixation device in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Fixing urinary catheter on the abdomen in patients after PVP can reduce the incidence of bleeding,promote the recovery of patients,and improve the satisfaction during the period of indwelling catheter,which is worthy of clinical promotion.