摘要
目的比较分析经尿道前列腺汽化电切术(TUVP)后三种牵引固定气囊导尿管方法的效果。方法选择210例TUVP术后患者,随机分为甲、乙、丙三组,每组70例,甲组采用橡皮筋法牵引固定气囊导尿管,乙组采用大腿内侧胶布固定法,丙组采用纱布结法,比较三种方法对术后患者的情绪评估、疼痛评估、牵拉后止血效果评估、拔管时间、相关并发症(如尿道外口坏死、狭窄、下肢静脉血栓、压疮)等多种参数的影响。结果橡皮筋法在术后情绪评估、疼痛评估、牵拉后止血效果评估、拔管时间上优于大腿内侧胶布固定法和纱布结法(P<0.05);并发症中尿道外口坏死、狭窄及压疮(压红)三组比较差异有统计学意义(P<0.05),下肢静脉血栓比较差异无统计学意义(P>0.05)。结论橡皮筋牵引法具有舒适度好、止血快、拔管早、并发症少的优点,可作为TUVP术后牵引固定气囊导尿管的首选方法。
Objective To compare the efficacy of the three methods of traction and fixation balloon catheter after transurethral vapo-resecfion of prostate （TUVP）. Methods Two hundred and ten patients were randomly divided into A, B, C three groups after TUVP and control group in equal number （n = 70）, Group A used the rubber band traction and fixation of balloon catheter, Group B used inner thigh tape fixation method, Group C used gauze knot method, and then compared the three methods after operation, including emotional assessment, pain assessment, traction hemostatic effect assessment, extubation time, complications （such as external urethral necrosis, harrow, deep vein thrombosis, pressure sores）. Results Rubber band method was superior to the inner thigh tape fixation and gauze knot in emotional assessment, pain assessment, traction after the hemostatic effect of assessment, time to extubation （P 〈 0. 05） ; There was significant difference in comparing the external urethral necrosis, narrow and pressure sores （pressure red） （P 〈 01 05 ）, there was not significant difference in comparing deep vein thrombosis. Conclusion Rubber band traction method has the advantages of comfort, hemostasis, early extubation, fewer complications and can be used as the preferred method of traction and fixation balloon catheter after TUVP.
出处
《中国临床新医学》
2012年第11期1069-1071,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
广西钦州市科学研究与技术开发计划项目(编号:20111405)
关键词
经尿道前列腺汽化电切术
气囊导尿管
橡皮筋法
大腿内侧胶布固定法
纱布结法
Transurethral vapo-resection of prostate
Balloon catheter
Rubber band method
Inner thigh tape fixation method
Gauze knot method
