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将100例行经尿道前列腺切除术(TURP)治疗的前列腺疾病患者按照术后是否发生膀胱痉挛分为膀胱痉挛组40例和未发生膀胱痉挛组60例。分别通过Pearson单因素与多元Logistic回归分析的方法对影响前列腺术后膀胱痉挛的高危因素进行分析,然后提出具体的护理对策。(1)经Pearson单因素与多元Logistic回归分析,最终确定影响前列腺术后膀胱痉挛的高危因素包括:SAS评分、低顺应性和(或)不稳定膀胱、冲洗液加温及尿管气囊注水体积;(2)根据SF-36生活量表评分方法 ,本组患者护理后SF-36生活量表各维度评分均显著小于护理前(P<0.05)。前列腺术后膀胱痉挛的高危因素较多,应采取有效的护理措施,才能有效规避膀胱痉挛发生的因素,提高患者的生活质量。
100 cases of prostate disease underwent transurethral resection of the prostate (TURP) were divided into cystospasm group (40 cases) and bladder spasm group (60 cases) according to whether postoperative bladder spasm occurred. Pearson single-factor and multiple logistic regression analysis were used to analyze the risk factors of bladder spasm after prostatectomy, and then proposed specific nursing strategies. (1) Pearson single factor and multivariate Logistic regression analysis to determine the risk factors of bladder spasm after prostatectomy include: SAS score, low compliance and / or unstable bladder, irrigation fluid warming and the volume of the catheter infusing water ; (2) According to the SF-36 subscale method, all dimensions of SF-36 subscales after nursing in this group were significantly less than those before nursing (P <0.05). Prostate postoperative bladder spasm more risk factors, effective nursing measures should be taken in order to effectively avoid the occurrence of bladder spasms, improve the quality of life of patients.