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目的:观察中西医结合治疗与护理防治经尿道前列腺电切术(TURP)术后患者尿失禁的疗效。方法:选取120例前列腺增生行TURP治疗的患者作为研究对象,并随机分为观察组和对照组各60例。对照组患者接受常规治疗与护理,观察组在对照组治疗与护理基础上加用艾灸和情志护理。观察比较2组患者的术后尿失禁发生率、尿失禁持续时间和住院满意度。结果:观察组共10例(17.24%)发生术后尿失禁,对照组共22例(39.28%)发生术后尿失禁,2组比较,差异有统计学意义(P<0.01)。观察组患者均未发生永久性尿失禁,对照组中1例(1.67%)发生永久性尿失禁。观察组发生尿失禁的患者持续时间短于对照组,差异有统计学意义(P<0.05)。观察组住院满意度评分高于对照组,差异有统计学意义(P<0.01)。结论:应用中西医结合治疗与护理措施对TURP术后患者进行干预,可以显著降低术后尿失禁的发生率,缩短尿失禁持续时间,同时提高患者对治疗和护理的满意度。
Objective: To observe the curative effect of urinary incontinence after transurethral resection of prostate (TURP) treated with traditional Chinese medicine and western medicine. Methods: Totally 120 patients with benign prostatic hyperplasia (TURP) were enrolled in this study. All patients were randomly divided into observation group (60 cases) and control group (60 cases). Patients in the control group received routine treatment and nursing, and the observation group added moxibustion and emotional nursing to the control group on the basis of the treatment and nursing. The incidence of postoperative urinary incontinence, urinary incontinence duration and hospitalization satisfaction were compared between the two groups. Results: Postoperative urinary incontinence was observed in 10 cases (17.24%) in the observation group. Postoperative urinary incontinence occurred in 22 cases (39.28%) in the control group. There was significant difference between the two groups (P <0.01). Permanent urinary incontinence did not occur in the observation group, and permanent urinary incontinence occurred in 1 case (1.67%) in the control group. The duration of urinary incontinence in observation group was shorter than that in control group, the difference was statistically significant (P <0.05). The score of hospital satisfaction in observation group was higher than that in control group, the difference was statistically significant (P <0.01). Conclusion: Integrative treatment and nursing intervention on patients after TURP can significantly reduce the incidence of postoperative urinary incontinence, shorten the duration of urinary incontinence, and improve patient satisfaction with treatment and care.