张琼珍

    四川省南充市中心医院泌尿外科，四川南充637000

    不同温度冲洗液对前列腺电切术患者的影响

    张琼珍

    四川省南充市中心医院泌尿外科，四川南充637000

    目的探讨不同温度冲洗液对前列腺电切术(TURP)患者的影响。方法回顾性分析2011年4月～2015年4月南充市中心医院收治的1100例良性前列腺增生并行TURP治疗的患者的临床资料，依据不同温度冲洗液进行分组，室温组(室温冲洗液)500例和等温组(等体温冲洗液)600例。观察两组患者冲洗时间、冲洗量、膀胱痉挛持续时间、膀胱冲洗液转清时间；观察两组患者手术前后尿液中红细胞计数、凝血指标；观察两组患者膀胱痉挛、寒颤、血块堵塞情况。结果等温组良性前列腺增生患者冲洗时间、冲洗量、膀胱痉挛持续时间、膀胱冲洗液转清时间均低于室温组，差异均有统计学意义(P0.05)；室温组手术前后PT无明显变化，等温组手术前后APTT、PT、PLT、Pagt比较，差异均无统计学意义(P>0.05)；术后两组尿液中红细胞计数均低于术前，室温组术后APTT高于术前，PLT、Pagt低于术前，等温组术后尿液中红细胞计数、APTT低于室温组，PLT、Pagt高于室温组，等温组良性前列腺增生患者膀胱痉挛、寒颤、血块堵塞发生率均低于室温组，差异均有统计学意义(P0.05)；the PT of the room temperature group before and after operation had no significant change，the APTT，PT，PLT，Pagt of the equal temperature group before and after operation had no statistically significant difference(P>0.05).The RBC in two groups after operation were lower than before operation，the APTT of the room temperature group after operation was higher than before operation，and PLT，Pagt were lower than before operation；the RBC in urine，APTT of the equal temperature group after operation were lower than the room temperature group ......