摘要
目的探讨护理干预对经尿道前列腺等离子电切术(TURP)后尿失禁的预防效果。方法采取TURP治疗良性前列腺增生症患者200例,其中100例(试验组)术前、术后均采用肛提肌功能锻炼方法训练盆底肌及尿道扩约肌肌力并进行排尿行为训练,预防术后尿失禁的发生;对照组100例采用常规护理方法。结果试验组发生尿失禁2例,对照组尿失禁10例,两组比较差异有统计学意义(P<0.05);试验组平均住院日、住院费用明显低于对照组(P<0.05);术后3个月两组国际前列腺症状评分(I-PSS评分)差异无统计学意义(P>0.05)。结论采用肛提肌功能锻炼方法训练盆底肌及尿道扩约肌肌力并进行排尿行为训练,预防术后尿失禁效果显著,具有可行性、实用性,应当作为术前术后健康指导的重点内容之一。
Objective To explore the effect of nursing intervention in preventing uroclepsia after transurethral resection of prostate. Methods One hundred patients in test group underwent voiding behavior training and levator ani muscle exercise to train the strength of pelvie floor muscle and urethral sphincter, so as to prevent postoperative uroelepsitL Conventional nursing Methods were used in 100 patients in control group. Results Uroelepsia occurred in 2 patients of test group and 10 patients of eontrol group. Conclusion It is feasible and practical to adopt voiding behavior training and levator ani muscle exercise to train the strength of pelvic floor muscle and urethral sphincter to prevent postoperative uroelepsia. It should be regarded as one of the key elements in the health guidanee before and after operation.
出处
《实用医院临床杂志》
2010年第3期81-82,共2页
Practical Journal of Clinical Medicine
关键词
护理干预
前列腺
电切术
尿失禁
Nursing intervention
Prostate
Electrocision
Uroclepsia
