用 GreenLight 激光光选择性前列腺汽化术治疗良性前列腺增生症患者拔除导管前灌注生理盐水的效果。

IF 1.5 Q3 UROLOGY & NEPHROLOGY American journal of clinical and experimental urology Pub Date : 2024-06-25 eCollection Date: 2024-01-01 DOI:10.62347/ZWRQ6068
Jiaxi Han, Fei Luo, Jian Li, Di Zheng, Na Zhang, Xiaoyi Zhou, Dong Zhang
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摘要

目的研究在良性前列腺增生症(BPH)患者接受绿光激光前列腺光选择性汽化术(PVP)治疗后,在拔除导管前灌注生理盐水的效果:将接受 PVP 治疗的良性前列腺增生患者(n=200)分为灌注组(n=100)和对照组(n=100)。灌注组在进行标准化尿道外口消毒后向膀胱内灌注生理盐水(200 mL 或可耐受的最大容量),然后拔出导尿管。对照组按常规拔除导管。比较两组围手术期不良事件和临床结果:结果:与对照组相比,灌注组患者首次排尿的等待时间更短[3(0-4)分钟 vs. 15(8.75-26)分钟;PP=0.016]。灌注组患者对首次排尿的焦虑程度低于对照组[分别为 1 (1-2) vs. 1.5 (1-2); P=0.012]。尿液分析显示,灌注组当天的白细胞(WBC)计数明显低于对照组[25.5(8-37.75) vs. 43.5(24.0-64.75);PPConclusion]:对接受 PVP 治疗的良性前列腺增生患者,在拔除导管前进行生理盐水灌注可缩短首次排尿的等待时间,改善患者的焦虑和满意度,并降低术后尿液中的白细胞水平。
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Effect of saline perfusion before catheter removal in patients with BPH treated with GreenLight laser photoselective vaporization of the prostate.

Objective: To investigate the effect of saline perfusion before catheter removal in patients with benign prostatic hyperplasia (BPH) treated with GreenLight laser photoselective vaporization of the prostate (PVP).

Materials and methods: Patients (n=200) with BPH treated with PVP were divided into perfusion (n=100) and control (n=100) groups. For the perfusion group, saline (200 mL or the maximum capacity tolerated) was irrigated into the bladder after standardized external urethral disinfection, and the catheter was removed. Catheter removal was routinely performed in the control group. Perioperative adverse events and clinical outcomes were compared between the groups.

Results: Patients in the perfusion group had a shorter waiting time [3 (0-4) vs. 15 (8.75-26) min; P<0.001] and a better satisfaction grade [24 (21.75-26) vs. 23 (20-25); P=0.016] for first urination than those in the control group. The perfusion group exhibited lower anxiety levels regarding first urination than the control group [1 (1-2) vs. 1.5 (1-2), respectively; P=0.012]. Urinalysis revealed that the perfusion group had significantly lower white blood cell (WBC) count than the control group on the day [25.5 (8-37.75) vs. 43.5 (24.0-64.75); P<0.001] and 2 weeks [20.5 (11-27) vs. 31.0 (20-42); P<0.001] after catheter removal. No significant differences in treatment-related adverse events were observed [perfusion (n=15), control (n=20)].

Conclusion: Saline perfusion before catheter removal in patients with BPH treated with PVP could shorten the waiting time for first urination, improve patient anxiety and satisfaction and reduce postoperative urinary WBC levels.

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