简介:【摘要】目的:研究探讨彩色多普勒超声检查在膀胱癌诊治当中的效果。方法:研究时间段为2011.8月~2020.8月,研究对象为该时间段在我院进行诊治的膀胱癌病患,选取的例数为120例,根据不同的诊断检查方法将病患进行平均分组。对照组进行常规的诊断,观察组则采取彩色多普勒超声诊断,对比两组不同的诊断效果。结果:在确诊概率的对比上,观察组的确诊概率相对较高;在诊断特异性和灵敏性的对比上,观察组的数值相对较高;在对诊断治疗结果满意度的对比上,观察组的满意度相对较高(P<0.05)。结论:在对膀胱癌病患进行诊断的过程中,使用彩色多普勒超声进行诊断具有较高的确诊概率,值得在临床上进行推广。
简介:【摘要】目的:分析综合护理干预在膀胱癌根治术后对肠功能的影响 。方法:随机选取我院 2018 年 1 月 -2020 年 3 月接收的 40 例行 膀胱癌根治术患者,根据患者手术时间进行分组护理治疗,先手术的 20 例患者为对照组, 20 例后手术患者分为观察组,术后给予对照组患者常规护理,观察组实施综合护理干预 ,对比两组患者的护理干预效果 。结果:通过护理后两组对比发现 , 观察组患者焦虑抑郁情绪均得到显著改善 , 且患者(肠鸣音恢复、首次排气、首次排便)时间与对照组相比均较少, 两组数据差异显著统计学意义存在(P< 0.05) , 结论:对行膀胱癌根治术后患者采取综合护理干预 ,可有效改善患者不良情绪,缩短患者肠功能恢复时间 , 从而帮助患者提高生活质量 。
简介: 摘要:目的 对比膀胱部分切除术与经尿道电切术应用于膀胱癌中的临床疗效。方法 选取我院确诊的 90例膀胱癌患者,按随机数字表法分为两组。其中 45例患者进行膀胱部分切除术,作为对照组;另 45例患者实施经尿道电切术,作为观察组。对比两组患者 TNF-α、 IL-6及 IL-10这三个炎症因子水平、临床指标及 2年内复发率。结果 观察组术中出血量明显少于对照组,手术时间、留置导尿管时间及住院时间均显著短于对照组,差异均有统计学意义( P<0.01);相对于对照组而言,观察组术后 TNF-α、 IL-6水平明显偏低,然而 IL-10水平显著较高,差异均有统计学意义( P<0.01);对照组与观察组 2年内复发率分别为 37.8%、 15.6%,组间差异显著,有统计学意义( P<0.05)。结论 与膀胱部分切除术相比,经尿道电切术治疗膀胱癌具有治疗效果较好、创伤小、复发率较低,术后恢复较快等优势,可作为治疗膀胱肿瘤的首选方案。 关键词:膀胱癌;膀胱部分切除术;经尿道电切术;临床效果 Abstract: Objective To compare the clinical effect of partial cystectomy and transurethral resection in bladder cancer. Methods 90 cases of bladder cancer diagnosed in our hospital were divided into two groups according to random number table. Among them, 45 patients underwent partial cystectomy as the control group; the other 45 patients underwent transurethral resection as the observation group. The levels of TNF - α, IL-6 and IL-10, clinical indexes and recurrence rate in two years were compared. Results the amount of bleeding in the observation group was significantly less than that in the control group, and the operation time, indwelling catheter time and hospitalization time were significantly shorter than those in the control group (P < 0.01); compared with the control group, the levels of TNF - α and IL-6 in the observation group were significantly lower, while the levels of IL-10 were significantly higher, and the differences were statistically significant (P < 0.01); the control group and the observation group 2 The recurrence rate was 37.8% and 15.6% in the same year, which was statistically significant (P < 0.05). Conclusion compared with partial cystectomy, transurethral resection of bladder cancer has the advantages of better therapeutic effect, less trauma, lower recurrence rate and faster postoperative recovery.
简介: 【摘要】 目的:探讨护理干预对膀胱癌术后患者复查依从性的护理效果。方法:本次研究入选对象均为 2017年 1月至 2019年 1月期间我院收治的膀胱癌癌患者 46例。随机对患者进行分组,分成观察组和对照组,每组 23例。对照组采用常规干预措施,观察组采用综合护理干预措施。观察比较两组患者实施不同护理干预措施后的复查依从性。结果:观察组患者中复查依从性评定结果 0级 15例、Ⅰ级 4例、Ⅱ级 2例、Ⅲ级 1例、Ⅳ级 1例;对照组患者中复查依从性评定结果 0级 5例、Ⅰ级 8例、Ⅱ级 4例、Ⅲ级 2例、Ⅳ级 4例。观察组中Ⅲ级和Ⅳ级患者所占比例为 8.70%,对照组者中Ⅲ级和Ⅳ级患者所占比例为 26.1%,观察组患者中Ⅲ级和Ⅳ级患者所占比例低于对照组,差异有统计学意义( P<0.05)。结论:综合性的护理干预措施能够显著提高膀胱癌术后患者复查的依从性及遵医行为,护理效果显著,值得借鉴。 【关键词】膀胱癌术后;复查依从性;效果观察 [Abstract] Objective: To explore the nursing effect of nursing intervention on the compliance of reexamination of patients with bladder cancer after operation. Methods: 46 patients with bladder cancer were enrolled in this study from January 2017 to January 2019. Patients were randomly divided into observation group and control group, with 23 cases in each group. The control group was treated with routine intervention and the observation group with comprehensive nursing intervention. To observe and compare the compliance of reexamination after different nursing interventions between the two groups. Results: in the observation group, there were 15 cases with grade 0 compliance assessment, 4 cases with grade I, 2 cases with grade II, 1 case with grade III and 1 case with grade IV; in the control group, there were 5 cases with grade 0 compliance assessment, 8 cases with grade I, 4 cases with grade II, 2 cases with grade III and 4 cases with grade IV. The proportion of patients with grade III and IV in the observation group was 8.70%, and that of patients with grade III and IV in the control group was 26.1%. The proportion of patients with grade III and IV in the observation group was lower than that in the control group, the difference was statistically significant (P < 0.05). Conclusion: the comprehensive nursing intervention can significantly improve the compliance and compliance behavior of patients with bladder cancer after operation, and the nursing effect is significant, which is worth learning.
简介:【摘要】目的:分析对膀胱癌根治术后患者实施认知行为疗法的效果。方法:本次研究选取收治的 60例膀胱癌根治术患者为例,随机分为对照组(常规护理)和观察组(常规护理 +认知行为疗法),对比两组患者护理效果。结果:组间焦虑评分对比,干预前,数据对比 ( 57.6±3.2vs57.4±3.1),差异不显著 (P>0.05),干预后,数据对比 ( 52.4±3.4vs46.5±2.9),其中观察组焦虑评分明显更低,差异显著 (P<0.05)。组间睡眠质量评分,干预前,数据对比 ( 8.4±1.6vs8.5±1.5),差异不显著 (P>0.05),干预后,数据对比 ( 7.5±1.4vs5.2±1.3),其中观察组睡眠质量评分明显更低,差异显著 (P<0.05)。结论:对膀胱癌根治术后患者实施认知行为疗法,可以在很大程度上缓解患者焦虑情绪,同时提高睡眠质量,值得推广。
简介:【摘要】目的:研究以家庭为中心的护理模式对进行膀胱癌手术后尿路造口病患生活质量的影响。方法:选取在我院2018年1
简介:【摘要】目的: 探究对宫颈癌根治术后尿潴留预防中应用提肛运动联合膀胱功能训练的临床效果。方法: 选入本次研究的 40例实验对象均是 2018年
简介: 【摘要】目的:分析护理干预对膀胱肿瘤术后膀胱灌注患者生活质量的影响。方法:回顾性分析 2017年 4月至 2019年 2月我院 40例膀胱肿瘤术后膀胱灌注患者的临床资料,根据是否采取综合性护理干预进行分组 ;对照组 20例,采取常规护理 ;观察组 20例,采取综合性护理干预 ;对比两组患者治疗依从性,根据癌症治疗功能评价系统的一般量表( FACT-G),综合评价患者的生活质量,并作对比分析。结果:观察组患者治疗依从性优良率 90%大于对照组 65%,差异具有统计学意义( P<0.05) ;护理后,观察组患者的躯体维度、社会 /家庭维度、情感维度、功能维度评分均高于对照组,差异具有统计学意义( P<0.05)。结论:综合性护理干预对膀胱肿瘤术后膀胱灌注患者的效果确切,可明显改善患者的治疗依从性,对于提高生活质量具有积极作用。 【关键词】膀胱肿瘤术 ;膀胱灌注 ;护理干预 ;生活质量 [Abstract] Objective: to analyze the effect of nursing intervention on the quality of life of patients with bladder perfusion after bladder tumor surgery. Methods: the clinical data of 40 cases of bladder cancer patients with bladder perfusion after operation from April 2017 to February 2019 in our hospital were retrospectively analyzed, and they were divided into groups according to whether comprehensive nursing intervention was adopted; 20 cases in the control group were given routine nursing care; 20 cases in the observation group were given comprehensive nursing intervention; The treatment compliance of the two groups was compared, and the quality of life of the patients was comprehensively evaluated according to the general scale of cancer treatment function evaluation system (FACT-G). Results: the excellent and good rate of treatment compliance in the observation group was 90% higher than that in the control group 65%, the difference was statistically significant (P < 0.05); after nursing, the scores of physical dimension, social / family dimension, emotional dimension and functional dimension of the observation group were higher than those of the control group, and the difference was statistically significant (P < 0.05). Conclusion: comprehensive nursing intervention has a definite effect on bladder perfusion patients after bladder tumor surgery, which can significantly improve the treatment compliance of patients, and has a positive effect on improving the quality of life.
简介:【摘要】目的:探讨循证护理对脊髓损伤后膀胱功能障碍患者膀胱功能恢复的影响。方法:选取 2016年 3月 -2018年 3月 104例 脊髓损伤后膀胱功能障碍患者,按就诊先后分成观察组(n=52)和对照组( n=52),对照组采用常规护理,观察组采用循证护理,对比两组膀胱容量、残余尿量及并发症情况。结果:观察组护理后残余尿量少于对照组,膀胱容量高于对照组,差异有统计学意义( P<0.05);观察组尿路感染、肾功能损伤、泌尿造影异常发生率均低于对照组,差异有统计学意义( P<0.05)。结论:循证护理对脊髓损伤后膀胱功能障碍患者膀胱功能恢复具有明显促进作用,可预防并发症发生,临床应用价值高。 【关键词】循证护理;脊髓损伤;膀胱功能障碍; 膀胱功能恢复
简介: 【摘 要】目的:探讨经尿道膀胱肿瘤电切术治疗浅表性膀胱肿瘤的临床效果。方法:选取我院 2016.03--2018.03收治浅表性膀胱肿瘤患者 80例,随机均分为两组,一组为实验组,经尿道膀胱癌整块切除,一组为对照组,进行经尿道膀胱肿瘤电切术。术后统计并比较两组患者手术时间、术中出血量、术后并发症 ;术后严密随访 1年。结果:对照组患者手术时间、术中出血量、术后并发症发生率分别为 35.7±10.7min、 67.2±2.3ml、 12.5%。实验组患者手术时间、术中出血量、术后并发症发生率分别为 25.8±11.8min、 41.9±2.5ml、 2.5%;统计 1年内肿瘤复发率对照组复发率低危(低级别尿路上皮癌)患者 28.5%、高危(高级别尿路上皮癌)患者 41.6%。实验组复发率低危患者 13.3%,高危患者 40%。结论:对于浅表性膀胱肿瘤的患者,经尿道膀胱肿瘤整块切除能够缩短手术时间,减少术中出血量,并降低术后并发症发病率,临床效果较好。 【关键词】浅表性膀胱肿瘤 ;经尿道膀胱肿瘤电切术 [Abstract] Objective: To investigate the clinical effect of transurethral resection of superficial bladder tumor. Methods: from March 2016 to March 2018, 80 patients with superficial bladder tumor were randomly divided into two groups: one group was the experimental group, the other group was the control group, and the other group was the control group. Postoperative statistics and comparison of the two groups of patients operating time, intraoperative bleeding, postoperative complications; postoperative strict follow-up 1 year. Results: in the control group, the operation time, intraoperative hemorrhage and postoperative complications were 35.7 ± 10.7 min, 67.2 ± 2.3 ml and 12.5%, respectively. In the experimental group, the operation time, intraoperative bleeding volume and postoperative complications were 25.8 ± 11.8 min, 41.9 ± 2.5 ml and 2.5% respectively, and the recurrence rate in the control group was 28.5% and 41.6% respectively. In the experimental group, the recurrence rate was 13.3% in low-risk patients and 40% in high-risk patients. Conclusion: for patients with superficial bladder tumor, the total resection of bladder tumor can shorten the operation time, reduce the blood loss and reduce the incidence rate of postoperative complications.
简介:【摘要】目的:探讨腹腔镜输尿管膀胱再植术治疗小儿膀胱输尿管反流的护理干预效果。方法:选取我院 2017年 12月至 2020年 1月收治的 60例实施腹腔镜输尿管膀胱再植术治疗小儿膀胱输尿管反流的患者,依据患者所采取的护理干预措施的不同将其分为对照组和干预组均 30例。对照组行常规护理,干预组在常规护理的基础上行全程护理干预,对比两组患者的手术指标、并发症的发生率。结果:干预组患者的手术指标比对照组更佳,患者术后出现并发症的发生率低于对照组, P< 0.05,临床护理效果显著。结论:在腹腔镜输尿管膀胱再植术治疗小儿膀胱输尿管反流患者手术护理中实施全程护理干预,提升患者临床治疗效果的同时能够有效降低并发症的发生率,保障患者治疗安全性,值得推广。