Jin Shanshan, Liu Zhaoyue, Liu Yan, Wu Jingzhang, Yu Qian
Department of Urology, Hengshui People's Hospital, Hengshui, China.
Evid Based Complement Alternat Med. 2022 May 19;2022:4205015. doi: 10.1155/2022/4205015. eCollection 2022.
This study is to investigate the risk factors analysis and nursing strategies for postoperative bleeding of benign prostatic hyperplasia (BPH). Totally, 240 BPH patients after surgical excision admitted to Hengshui People's Hospital between January 2019 and January 2020 were recruited. Of the 240 BPH patients, 20 had postoperative bleeding, accounting for 8.3% of all enrollments. Risk factors for postoperative bleeding included large prostate, diabetes, hypertension, urinary tract infection within 1 week before surgery, and the absence of epidural analgesia pumps. There were 87 patients receiving routine nursing (routine group) and 153 patients receiving routine nursing plus hemorrhage prevention care (study group). The study group had fewer cases of postoperative bleeding than the routine group. The influencing factors of postoperative bleeding in patients with prostatic hyperplasia include systemic and local factors, and corresponding hemorrhage prevention care should be performed based on the principle of evidence-based care to reduce the risk of postoperative bleeding.
本研究旨在探讨良性前列腺增生症(BPH)术后出血的危险因素分析及护理策略。选取2019年1月至2020年1月在衡水市人民医院收治的240例行手术切除的BPH患者。在这240例BPH患者中,20例发生术后出血,占所有入组患者的8.3%。术后出血的危险因素包括前列腺体积大、糖尿病、高血压、术前1周内的尿路感染以及未使用硬膜外镇痛泵。87例患者接受常规护理(常规组),153例患者接受常规护理加出血预防护理(研究组)。研究组术后出血病例少于常规组。前列腺增生症患者术后出血的影响因素包括全身和局部因素,应基于循证护理原则进行相应的出血预防护理,以降低术后出血风险。