临床路径引导快速康复外科护理在前列腺电切术后护理中的应用

沈静静

【摘 要】目的：评价临床路径引导快速康复外科护理在前列腺电切术后护理中的应用效果。方法：纳入我院2018年6月至2021年6月泌尿外科收治的100例前列腺电切术患者为研究样本，根据電脑盲选法分组，对照组（n=50）患者接受常规护理，研究组（n=50）患者接受临床路径引导快速康复外科护理，比较两组患者术后各项情况。结果：与对照组相比，研究组患者术后首次排气与下床时间、膀胱冲洗时间、尿管拔除及住院时间更短（P<0.05）；与对照组（22.00%）相比，研究组患者术后并发症发生率（8.00%）显更低（P<0.05）。结论：临床路径引导快速康复外科护理可有效缓解术后疼痛，降低术后并发症，改善膀胱痉挛症状，缩短术后康复时间，值得在前列腺电切术后护理中应用推广。

【关键词】临床路径引导快速康复外科护理；前列腺电切术；并发症

Application of clinical path-guided rapid rehabilitation surgical nursing in postoperative nursing of prostate resection

Shen Jingjing

The first people’s Hospital of Lianyungang， Lianyungang Jiangsu 222000，China

【Abstract】Objective：To evaluate the effect of clinical path-guided rapid rehabilitation surgical nursing in postoperative nursing of prostate resection. Methods：100 patients with prostatic resection were selected as research samples in our hospital from June 2018 to June 2021. They were grouped according to the computer blind selection. Patients received routine care in the control group （n=50）， the patients received clinical pathway-guided rapid rehabilitation surgical care in the research group （n=50）， and the curative effect of the patients in two groups were compared. Results：Compared with the control group， the time of first exhaust and getting out of bed， bladder irrigation， catheter removal and hospitalization were shorter than patients in the research group（P<0.05）；compared with the control group（22.00%）， the postoperative complication rate （8.00%） of patients in research group was significantly lower（P<0.05）.Conclusion Clinical path-guided rapid rehabilitation surgical nursing could effectively relieve postoperative pain， reduce postoperative complications， improve bladder spasm symptoms， and shorten postoperative recovery time. It is worthy of application in postoperative nursing after prostatectomy.

【Key？Words】clinical path-guided rapid rehabilitation surgical nursing； prostate resection；complication

前列腺增生是男性生殖系统较为常见的疾病类型，长时间会给患者的身心健康及生命质量造成极大威胁。近年来我国前列腺增生的发生率逐年增加[1]。前列腺电切术疗效确切，但该术式常因患者自身特征的影响，在术后常易出现各种并发症，不利于术后恢复。临床护理路径是一种具有顺序性及实践性的临床服务，以降低并发症、促进患者预后、节约医疗资源为目的[2]。快速康复外科护理时采用科学、有效、合理的护理方式，对促进患者身体恢复具有积极意义。本研究选取我院2018年6月至2021年6月泌尿外科收治的100例前列腺电切术患者为开展研究，总结如下。……