摘要
目的对比老年腹股沟斜疝合并前列腺增生患者同期手术治疗与单一行手术治疗后诱导排尿中两种护理措施的有效性及安全性分析。方法随机选取2012年2月至2014年2月黄石市中心医院泌尿外科收治的腹股沟斜疝合并前列腺增生症患者171例,分为实验组和对照组。对实验组87例并发症患者同期进行手术治疗,对照组84例患者进行腹股沟斜疝修补术治疗,用药物抑制前列腺增生症。术后将87例同期手术治疗的患者,在征求患者及其家属同意的情况下,分为A,B两组,A组药物诱导排尿,B组采用物理方法诱导排尿,分析87例患者的护理资料。结果同期进行治疗的87例患者手术较为成功,术后随访6~12个月,无疝气复发、切口无感染、无术区牵拉不适、无排尿困难、尿失禁等并发症出现;另一组84例行腹股沟斜疝修补术治疗后用药物抑制前列腺增生症的患者术后复发率为10%,差异有统计学意义(P<0.05)。术后排尿护理不当容易感染,排尿困难时,物理诱导较药物诱导易被患者接受,且反应良好。结论同期行手术治疗较单一手术治疗加药物抑制术相比,具有复发率低、并发症少的明显优势。术后应用膀胱热敷、自我按摩等物理方法促进排尿,相比肛门给药更易被患者接受,疗效更佳。
Objective Compare synchronous operation and single hernia repair for elderly patients with indirect hernia and benign prostatic hyperplasia,and to analyzethe efficacy and safety oftwo nursing induce urination after surgery. Methods From February 2012 to February 2014,171 cases of inguinal hernia with benign prostatic hyperplasia（ BPH） in Huangshi cenrtral hospital wererandomly selected. Of these,87 cases of patients underwentsynchronous surgery,and 84 patients received indirect inguinal hernia repair and drugs that released prostatic hyperplasia. In the case of the consent of the patient,87 patients with synchronous surgery were divided into group A and group B. Group A used drug-induced urination,and group B used physical inducing urination. Results 87 patients with synchronous operations were treated successfully. The patients were followed up for 6 to 12 months,there were no recurrence of hernia,wound infection,traction discomfort, dysuria, urinary incontinence and other complications occurred. And recurrence ratewas 10% in group of patients who had single inguinal hernia repair and drugs that inhibited BPH. Improper care of urination after operation caused infection. When dysuria occurred,the physical induction was easy to be accepted by the patients than drug-induction and had a good result.Conclusion Compared to a single surgical therapy plus drugs inhibition,synchronous operation for indirect inguinal hernia and BPH has the obvious advantages of lower recurrence rate and fewer complications.Postoperative bladder heat,self-massage and other physical methods to promote urination rather than anal administrationwas more acceptablefor patients and more effective.
出处
《中华疝和腹壁外科杂志（电子版）》
2017年第2期156-158,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
前列腺增生
诊疗
临床研究性
手术后医护
Hernia,inguinal
Prostate hyperplasia
Therapies inverstigationl
Postoperative care
