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目的探讨保列治减少经尿道前列腺等离子体电切术围术期出血的疗效。方法选取沈丘县人民医院近一年来收治的90例良性前列腺增生手术患者,随机将90例患者分为观察组45例和对照组45例,观察组患者术前服用保列治,对照组患者术前不服用保列治。采用张氏红细胞计数法计算并比较观察组与对照组患者手术的出血量。结果观察组患者平均手术时间为41.6 min,与对照组患者(43.5 min)相比,差异未见统计学意义(P>0.05)。对照组患者行经尿道前列腺等离子体电切术的平均出血量为207.3 ml,术后1 d后出血量为43.5 ml,术后2 d后出血量为26.3 ml;观察组患者行经尿道前列腺等离子体电切术的平均出血量为124.8 ml,术后1 d后出血量为16.7 ml,术后2 d后出血量为11.7 ml。观察组与对照组在经尿道前列腺等离子体电切术围手术期出血量比较差异有统计学意义(P<0.05)。结论前列腺患者行经尿道前列腺等离子体电切术前服用常规剂量的保列治,可以在很大程度上减少手术的出血量,降低手术风险,获得良好的治疗效果。
Objective To investigate the effect of pristine on perioperative bleeding after transurethral resection of prostate plasma. Methods Ninety patients with benign prostatic hyperplasia who were admitted to Shenqiu People’s Hospital in the past year were randomly divided into observation group (45 cases) and control group (45 cases). Patients in the observation group were treated with preprostate and control group Preoperative do not take prion. Using Zhang’s red blood cell count method to calculate and compare the observation group and control group patients with surgical bleeding. Results The mean operation time of the observation group was 41.6 min, which was not significantly different from that of the control group (43.5 min) (P> 0.05). In the control group, the average amount of bleeding after transurethral resection of prostate was 207.3 ml, the amount of bleeding after one day was 43.5 ml, and the amount of bleeding was 26.3 ml after 2 days. In the observation group, the transurethral plasma of prostate The average amount of bleeding after the resection was 124.8 ml, the amount of bleeding after 1 day was 16.7 ml, and the amount of bleeding after 2 days was 11.7 ml. There was significant difference in perioperative blood loss between transurethral resection of prostate and observation group (P <0.05). Conclusion Prostate patients undergoing transurethral resection of prostatic plasma before conventional dose of pristine treatment can greatly reduce the amount of bleeding and reduce the surgical risk and obtain good therapeutic effect.