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优化术后护理:在经尿道切除前列腺后,在同一天出院
Kamil Malshy1,2, Alejandra Balen1,2, Borivoj Golijanin1,2
1Brown Urology, Providence, RI, USA.
Journal of perioperative practice
|May 24, 2024
概括
经过尿道切除前列腺 (TURP) 后的同一天排泄对于某些患者来说是可行的和安全的. 这种方法减少了急诊室的访问,但没有增加再入院,这表明患者护理的潜在好处.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 通过尿道切除前列腺 (TURP) 是良性前列腺增生的一个常见程序.
- 传统上,TURP涉及标准住院,但越来越多地探索当天出院.
研究的目的:
- 评估在TURP后在同一天排出的可行性和安全性.
- 为了比较同一天出院的患者和标准停留时间的患者之间的结果.
主要方法:
- 从2016年至2021年对459名患者的病历进行了回顾性分析.
- 患者分为同一天出院 (第一组) 和标准长度出院 (第二组) 的患者.
- 后勤回归和t测试用于比较结果,控制患者的人口统计.
主要成果:
- 2018年后,当日放电率显著增加.
- 第1组显著减少前列腺组织切除和较低的长时间连续膀灌率.
- 同一天出院与急诊部代表率下降40%有关.
- 停留时间和医院再入院之间没有发现显著的关联.
结论:
- 对于精心挑选的患者来说,TURP后的当天出院是一个可行的和安全的选择.
- 这种方法可能会导致更少的急诊室访问.
- 进一步的研究可以优化当天出院的患者选择标准.
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