摘要
目的探讨不同温度冲洗液对前列腺切除术后膀胱无抑制性收缩的影响。方法将 180例前列腺切除术后并发膀胱无抑制性收缩的患者随机分为A、B、C、D、E、F 6组 ,各 30例 ,术后均予持续膀胱冲洗 ,冲洗液温度分别为(2 3.5 0± 1.5 0 )℃、(2 6 .5 0± 1.5 0 )℃、(2 9.5 0± 1.5 0 )℃、(32 .5 0± 1.5 0 )℃、(35 .5 0± 1.5 0 )℃、(38.5 0± 1.5 0 )℃。观察前列腺术后膀胱无抑制性收缩症状并对其评分 ,同时观察记录持续膀胱冲洗的时间。结果E组及F组症状评分显著低于A、B、C、D组 (均P <0 .0 1) ;E组膀胱持续冲洗时间明显短于A、B、C、D、F组 (均P <0 .0 1)。结论前列腺术后持续膀胱冲洗液的温度在 (35 .5 0± 1.5 0 )℃为最佳 ,其可最大限度地减轻前列腺术后膀胱无抑制性收缩 ,减少持续膀胱冲洗的时间。
Objective To investigate the relation between temperature of douche and uninhibited bladder contraction after prostatectomy.Methods One hundred and eighty patients with uninhibited bladder contraction after prostatectomy were randomly divided into 6 groups: group A, B, C, D, E and F, with 30 patients in each group. The temperature of douche in each group was adjusted to (23.50±1.50) ℃, (26.50±1.50) ℃, (29.50±1.50) ℃, (32.50±1.50) ℃, (35.50± 1.50 ) ℃ and (38.50±1.50) ℃,respectively. The symptoms of uninhibited bladder contraction were observed and the lasting time of bladder irrigation was recorded. Results The symptom scores in group E and F were much lower than than those in the other groups (all P<0.01). The lasting time of bladder irrigation in group E was the shortest of all groups (all P< 0.01 ). Conclusions (35.50±1.50) ℃ is the ideal temperature for bladder irrigation after prostatectomy. It can substantially reduce the uninhibited bladder contraction, and shorten the time of irrigation.
基金
临沂市科技发展计划项目 (0 10 4 0 6 18)
2 0 0 3年临沂市科学技术进步三等奖 [2 0 0 2 3 5 5 (2 ) 1]
关键词
膀胱冲洗
溶液
温度
前列腺手术
膀胱无抑制性收缩
prostatectomy
uninhibited bladder contraction
continuous bladder irrigation
temperature of flushing liquid
