The effect of continuous irrigating isotonic irrigant temperature on wound bleeding in patients with resection of prostate
前列腺电切患者术后持续冲洗等渗冲洗液温度对伤口出血的影响

摘要

目的 探究分析前列腺电切患者术后持续冲洗等渗冲洗液温度对伤口出血的影响。方法 选取于2020年1月至2022年1月，至我院接受前列腺电切术的患者，共50例作为本次研究对象。按照电脑盲选的方式，将50例患者随机分为对照组与观察组。对照组冲洗液温度为：22-24℃；观察组冲洗液温度为：37-38℃。对比分析对照组与观察组的膀胱痉挛次数，尿液中红细胞数值以及术后中心体温。结果 经冲洗干预后，观察组在膀胱痉挛次数，尿液中红细胞数值以及术后中心体温方面，明显优于对照组，其中（P＜0.05），差异具有统计学意义。结论 对前列腺电切患者进行术后持续冲洗的过程中，将冲洗液的温度恒定于37-38℃，能够有效改善患者中心体温，降低患者膀胱痉挛次数；改善患者伤口出血的情况。在临床应用中具有优良的效果，值得推广与应用。

Abstract

Objective: To explore and analyze the effect of continuous irrigation isotonic irrigation fluid temperature on wound bleeding after resection of prostate.
Methods: A total of 50 patients who received prostate resection in our hospital from January 2020 to January 2022 were selected as the research objects. According to the method of computer blind selection, 50 patients were randomly divided into the control group and the observation group. The temperature of the rinse solution in the control group was 22-24°C; the temperature of the rinse solution in the observation group was 37-38°C. The frequency of bladder spasm, the number of red blood cells in urine and the postoperative central body temperature were compared between the control group and the observation group.
Results: After irrigation intervention, the observation group was significantly better than the control group in the frequency of bladder spasm, the number of red blood cells in urine and the postoperative central body temperature, among which (P<0.05), the difference was statistically significant.
Conclusion  : In the process of continuous post-operative flushing of patients with resection of the prostate, keeping the temperature of the flushing fluid constant at 37-38°C can effectively improve the patient's core body temperature, reduce the number of bladder spasms, and improve the patient's wound bleeding. It has excellent effect in clinical application and is worthy of promotion and application.