摘 要 目的：分析對(duì)經(jīng)尿道前列腺汽化電切術(shù)治療的高齡良性前列腺增生癥患者采用圍術(shù)期優(yōu)質(zhì)護(hù)理的效果。方法：收集2016年1月至2017年12月行經(jīng)尿道前列腺汽化電切術(shù)治療的高齡良性前列腺增生癥患者104例，隨機(jī)分為對(duì)照組和觀察組各52例，對(duì)照組接受常規(guī)護(hù)理，觀察組接受圍術(shù)期優(yōu)質(zhì)護(hù)理。觀察兩組術(shù)后并發(fā)癥發(fā)生率。結(jié)果：觀察組術(shù)后并發(fā)癥發(fā)生率為1.92%（1/52），顯著低于對(duì)照組的17.31%（9/52，P=0.008）。結(jié)論：在經(jīng)尿道前列腺汽化電切術(shù)治療高齡良性前列腺增生癥患者的護(hù)理過程中，圍術(shù)期優(yōu)質(zhì)護(hù)理能顯著降低并發(fā)癥的發(fā)生風(fēng)險(xiǎn)，從而促進(jìn)患者的康復(fù)進(jìn)程，值得推廣應(yīng)用。
　　關(guān)鍵詞 前列腺增生癥；經(jīng)尿道前列腺汽化電切術(shù)；圍術(shù)期優(yōu)質(zhì)護(hù)理
　　中圖分類號(hào)：R697+.32 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1006-1533（2018）04-0033-02
　　Study of nursing care of elderly patients with benign prostatic hyperplasia treated by transurethral vaporization resection of prostate
　　LIU Huiling， MA Liqiu， GONG Jiao
　　（Department of Urological Surgery of People’s Hospital of Gaoan， Gaoan 330800， Jiangxi Province， China）
　　ABSTRACT Objective： To analyze the effect of perioperative high quality nursing on elderly patients with benign prostatic hyperplasia treated by transurethral vaporization resection of prostate. Methods： From January 2016 to December 2017， 104 cases of benign prostatic hyperplasia treated by transurethral vaporization resection of prostate were collected and randomly divided into a control group and an observation group with 52 cases in each group. The control group received routine nursing and the observation group received high quality nursing during the perioperative period. The incidence of postoperative complications in the two groups was observed. Results： The incidence of postoperative complications in the observation group was 1.92%（1/52）， which was significantly lower than that of the control group 17.31%（9/52， P=0.008）. Conclusion： During the nursing process of transurethral vaporization resection of prostate in the treatment of elderly patients with benign prostatic hyperplasia， perioperative high quality nursing can significantly reduce the risk of complications， thereby to promote the rehabilitation process of patients， and it is worthy of popularization and application.
　　KEY WORDS prostatic hyperplasia； transurethral vaporization resection of prostate； perioperative high quality nursing
　　相關(guān)研究報(bào)道，我國(guó)男性尤其是老年人群的前列腺增生癥及前列腺腫瘤的發(fā)病率日趨增高，對(duì)老年男性的日常生活造成嚴(yán)重干擾，目前經(jīng)尿道前列腺汽化電切術(shù)是干預(yù)以上疾病的主要方式[1-2]。該手術(shù)是在電切鏡的直視下，通過高頻電切原理將患者增生的前列腺組織進(jìn)行切除，具有創(chuàng)口小、手術(shù)時(shí)間短、術(shù)后恢復(fù)快等優(yōu)勢(shì)，并成為了前列腺增生疾病的治療“金標(biāo)準(zhǔn)”[3-4]。但是，由于大部分患者為老年人，因此對(duì)手術(shù)的耐受性差，為了確保手術(shù)的順利進(jìn)行及效果，相關(guān)護(hù)理配合對(duì)于患者疾病轉(zhuǎn)歸及預(yù)后十分關(guān)鍵[5]。本文報(bào)道對(duì)接受經(jīng)尿道前列腺汽化電切術(shù)治療的高齡良性前列腺增生癥患者采用優(yōu)質(zhì)護(hù)理的效果。
　　1 資料與方法
　　1.1 一般資料
　　選取2016年1月至2017年12月在高安市人民醫(yī)院泌尿外科行經(jīng)尿道前列腺汽化電切術(shù)的高齡良性前列腺增生癥患者104例，按照完全隨機(jī)化分組原則分為對(duì)照組和觀察組各52例。對(duì)照組患者年齡66～92歲，平均（78.3±5.9）歲，病程>4年；合并高血壓29例、冠心病10例、腎功能不全6例、糖尿病5例、支氣管炎3例。觀察組患者年齡68～90歲，平均（78.4±5.7）歲，病程>4年；合并高血壓31例、冠心病11例、腎功能不全5例、糖尿病5例、支氣管炎3例。兩組基線資料差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。排除合并精神異常者、血液疾病者、交流溝通障礙者。所有患者均簽署知情同意書。

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