对61例TURP术后病例耳穴压丸法防治膀胱痉挛临床疗效观察

目的：观察耳穴压丸法对TURP术后防治膀胱痉挛发生的临床疗效。方法：采用随机、对照的方法，选取欲行TURP手术患者6l例，其中试验组30例和对照组31例。对照组采用基础常规护理，试验组在基础常规护理的基础上，在TURP术前24时开始实施耳穴压丸法，观察并比较两组术后72小时内膀胱痉挛的次数、强度及术后疼痛．以及比较两组冲洗液转清时间、冲洗时间、住院天数。结果：试验组发生膀胱痉挛率43％，对照组发生膀胱痉挛率58％，两组比较有显著差异。两组在冲洗液转清时间、冲洗时间、住院天数均有显著差异。结论：耳穴压丸法对TURP术后膀胱痉挛有防治疗效，能有效减少术后住院天数，是防治术后膀胱痉挛的一种有效的中医传统疗法。

Curative Observation of Using the Ear-acupoint-compression to Prevent and Cure the Bladder Spasm after TURP Surgery

Objective： To observe the clinical effect and safety of the ear-acupoint- compression on treating bladder spasm after TURP surgery. Methods： A total of 61 BPH patients who had been treated by transurethral resection of the prostate （TURF） were divided into experimental group （31 patients）, treated by basic routine nursing combining with ear-acupoint- compression, which start from 24 hours before the operation, and controlled group （30 patients）, treated by basic routine nurs- ing only. Each group was observed in the times and strength of the cystospasm, and the postoperation pain during 72 hours after the surgery. The flashing liquor clearing time, bladder-flashing days and the hospitalization period would also be compared. Results： In this study, the incidence of bladder spasm was lower in the experimental group （43%） than the controlled group （58%） with statistically significant difference. And it was notable effective on preventing the pain, shorting the washing time and decreasing the days in hospital. Conclusion： Ear-acupoint-compression has a notable effect to provide and cure the bladder spasm after TURP surgery. It can ease the pain and cut down the bleeding after the surgery, and is an effective traditional Chi- nese medicine treatment for bladder spasm.