首页|引发经尿道膀胱肿瘤电切术患者术后早期并发症的危险因素及干预策略分析

引发经尿道膀胱肿瘤电切术患者术后早期并发症的危险因素及干预策略分析

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目的 对经尿道膀胱肿瘤电切术患者术后早期并发症进行调查,并分析其危险因素,以此提出相应干预策略。方法 选取2020年12月-2021年1月本院收治的76例经尿道膀胱肿瘤电切术(TURBT)治疗的膀胱癌患者,采用便利抽样法分为未发生术后早期并发症患者的未发生组(n=39)和发生术后早期并发症患者的发生组(n=37)。采用问卷调查的方式收集患者一般资料、临床资料及术后早期并发症发生情况,通过单因素分析与多因素分析明确膀胱癌患者术后早期并发症发生的危险因素,并制定相应的护理对策。结果 76例TURBT患者中发生术后早期并发症37例,占48。68%。多因素分析结果显示,年龄、ASA分级、总输血量及术后住院时间为TURBT患者术后早期并发症的独立危险因素(OR>1,P<0。05)。结论 本研究TURBT患者术后早期并发症发生率为48。68%,且发现与年龄、ASA分级、总输血量及术后住院时间等因素密切相关。
Risk Factors Analysis and Intervention Strategies for Early Postoperative Complications of Patients with Transurethral Resection of Bladder Tumors
Objective To investigate current status of early postoperative complications of patients with transurethral resection of bladder tumors,analyze independent risk factors,and propose corresponding intervention strategies.Methods The paper chose 76 patients with transurethral resection of bladder tumor(TURBT)in our hospital from December 2020 to January 2021 by convenience sampling method as study subjects,collected general data,clinical data and early postoperative complications of patients by questionnaire survey,identified risk factors of early postoperative complications of bladder cancer patients based on single factor analysis and multi factor analysis,and formulated corresponding nursing countermeasures.Results There were 37 cases of early postoperative complications among 76 TURBT patients,accounting for 48.68%.Multivariate analysis showed,age,ASA grade,total blood transfusion volume,and postoperative hospital stay were independent risk factors for early postoperative complications of TURBT patients(OR>1,P<0.05).Conclusion Incidence of early postoperative complications of TURBT patients is 48.68%,which is closely related to factors of age,ASA grade,total blood transfusion volume and postoperative hospital stay.

Transurethral resection of bladder tumorsEarly postoperative complicationsRisk factorsInfluencing factorsIntervention strategies

张国海、陈建友、杨烁

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达州市中西结合医院泌尿外科,四川 达州 635000

经尿道膀胱肿瘤电切术 术后早期并发症 危险因素 影响因素 干预策略

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(14)