“3+1”膀胱功能恢复法在前列腺增生术后患者中的应用效果

Observation of the effect of‘3+1’bladder function recovery method in patients with postoperative prostatic hyperplasia

目的:探讨“3+1”膀胱功能恢复法在前列腺增生术后患者中的应用效果。方法:选取2021年10月—2022年1月收治的良性前列腺增生患者112例,均行经尿道前列腺电切术,根据随机数字表法分为观察组和对照组,每组56例。对照组使用术后常规护理干预措施,观察组在此基础上实施“3+1”膀胱功能恢复法干预。比较两组患者临床相关指标,干预前后尿动力学指标变化情况,术后1个月和术后3个月尿常规白细胞计数水平,并发症发生情况,对护理干预措施的满意度。结果:观察组患者进食时间、肛门排气时间、下床时间、尿管留置时间、膀胱冲洗时间和住院时间均明显短于对照组,差异有统计学意义(P<0.001)。干预前两组患者尿动力学指标比较,差异无统计学意义(P>0.05);干预后观察组患者最大尿流率(Qmax)高于对照组,最大尿流率时逼尿肌压力(PdetQmax)低于对照组,差异有统计学意义(P<0.05)。观察组患者术后1个月和术后3个月尿常规白细胞计数均少于对照组,差异有统计学意义(P<0.001)。观察组患者并发症发生率明显低于对照组(χ^(2)=5.224,P=0.022)。观察组患者护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:“3+1”膀胱功能恢复法可促进前列腺增生术后患者恢复,缩短下床时间和住院时间,改善尿动力学指标,减少并发症发生率。

Objective:Combined with clinical experience,to explore the effect of‘3+1'bladder function recovery method in patients with postoperative prostatic hyperplasia.Methods:A total of 112 patients with benign prostatic hyperplasia admitted to hospital from October 2021 to January 2022,all of whom underwent transurethral resection of prostate,were divided into experimental group and control group according to random number table method.The control group was treated with postoperative routine nursing intervention measures,and the observation group was treated with‘3+1'bladder function recovery intervention on this basis,and the relevant clinical indicators were compared between the two groups.The changes of urodynamic indexes in the two groups were observed before and after the intervention,and the levels of urine routine white blood cell count were compared between the two groups 1 month and 3 months after the operation,and the incidence of complications were compared between the two groups,the satisfaction of the two groups of patients with nursing interventions was compared.Results:The feeding time,anal exhaust time,getting out of bed time,urinary catheter indentation time,bladder irrigation time and hospital stay time of experimental group were significantly shorter than those of control group,with statistical significance(P<0.001).Before intervention,there was no significant difference in urodynamic indexes between the two groups(P>0.05).After intervention,maximum flow rate(Qmax)of experimental group was higher than that of control group,while detrusor pressure at maximum flow rate(PdetQmax)was lower than that of control group,the difference was statistically significant(P<0.05).The urine routine white blood cell count of experimental group was lower than that of control group one and three months after surgery,the difference was statistically significant(P<0.001).The complication rate of experimental group(5.36%)was significantly lower than that of control group(19.64%),and the difference was statistically significant(χ^(2)=5.224,P=0.022).The nursing satisfaction of experimental group(96.43%)was significantly higher than that of control group(82.14%),and the difference was statistically significant(χ^(2)=7.808,P=0.020).Conclusion:‘3+1'bladder function restoration method can promote the recovery of patients with prostatic hyperplasia after surgery,shorten the length of getting out of bed and staying in hospital,improve urodynamic indexes,reduce the incidence of complications.