Comprehensive nursing in prevention of complications associated with vasovagal reactions following transrectal ultrasonography-guided prostate biopsy (综合护理干预在预防经会阴行前列腺穿刺活检术后血管迷走神经反射并发症中的应用)

Abstract

Objective To investigate the effect of comprehensive nursing in prevention of complications associated with vasovagal reactions (VVRs)following transrectal ultrasonography-guided prostate biopsy(TRUS-TP). Methods Totally 136 patients undergoing TRUS-TP were randomly divided into the control group and the intervention group, with 68 cases in each group. The control group received routine nursing management, while the intervention group was given comprehensive nursing management. The incidence of postoperative complications associated with VVRs was compared between two groups. Results The incidence rates of complications associated with VVRs such as pale complexion, heart rate reduction, nausea and vomiting were lower in the intervention group than those in the control group (P＜0. 05). Conclusion The comprehensive nursing interventions are effective to prevent complications associated with VVRs, ensure the patient safety during the perioperative period and improve the quality of nursing. (目的 探讨综合护理干预在预防经会阴前列腺穿刺活检术(TRUS-TP)术后血管迷走神经反射(VVRs)并发症中的应用效果。方法 136例超声引导下行TRUS-TP的患者随机分为对照组和干预组, 各68例。对照组予以围术期常规护理, 干预组实施综合护理干预。观察2组术后发生VVRs症候群发生情况。结果 干预组面色苍白和冷汗、心率减慢和血压下降、恶心呕吐相关VVRs症候发生率均低于对照组, 差异有统计学意义(P＜0. 05)。结论 综合护理干预措施可降低TRUS-TP术后VVRs的发生率, 保证围术期护理安全, 有助于提高护理质量和护理效能, 值得推广。)

Keywords

• comprehensive nursing
• transrectal prostate biopsy
• vasovagal reactions
• heart rate
• blood pressure
• 综合护理干预
• 经会阴行前列腺穿刺活检术
• 血管迷走神经反射
• 心率
• 血压