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目的:总结分析经尿道前列腺电切术治疗良性前列腺增生老年患者常见的并发症,探析预防措施。方法:本研究随机抽取我院2008年2月~2012年10月期间收治的108例经尿道前列腺电切术治疗的良性前列腺增生老年患者为研究对象,取行并发症预防干预108例为研究组,另取2005年2月~2008年1月期间未行并发症预防干预者108例为对照组,对比分析两组患者并发症发生率。结果:干预组患者经过预防干预后术中出血、前列腺包膜穿孔、术中膀胱穿孔、术中低体温、经尿道电切综合征(TURS)、感染、膀胱痉挛等并发症发生率明显低于对照组(P<0.05)。结论:充分术前准备、术后做好各项护理预防干预措施,方能降低并发症的发生,提高治疗效果,值得引起广大医护人员的重视和关注。
OBJECTIVE: To summarize and analyze the common complications of transurethral resection of prostate in elderly patients with benign prostatic hyperplasia, and to analyze the preventive measures. Methods: A total of 108 elderly patients with benign prostatic hyperplasia (BPH) treated by transurethral resection of the prostate in our hospital from February 2008 to October 2012 were randomly selected as the study subjects. 108 cases of complication prevention intervention were selected as the study group In addition, another 108 patients who did not take complication prevention intervention from February 2005 to January 2008 were selected as the control group, and the complication rates were compared between the two groups. Results: The incidence of complications such as intraoperative bleeding, prostatic capsular perforation, intraoperative bladder perforation, intraoperative hypothermia, transurethral resection syndrome (TURS), infection and bladder spasm were significantly lower in intervention group than those in prevention group Control group (P <0.05). CONCLUSIONS: Adequate preoperative preparation and good nursing interventions after surgery can reduce the incidence of complications and improve the therapeutic effect, which deserves the attention and attention of the general medical staff.