摘要:Objective To explore the reasons of bladder spasm after electro-prostatectomy and application value of evidence-based nursing.Methods 96 patients with benign prostatic hyperplasia (BPH) in our hospital from July 2012 to July 2014 were randomly divided into two groups with 48 cases in each group.Control group was treated with routine nursing,while observation group was treated with evidence-based nursing.Analyzed the relationship between the incidence of bladder spasm after operation and catheter blockage,with or without traction,traction time,operation time,injection volume of balloon.Compared the incidence of bladder spasm,the time of bladder irrigation,the time of indwelling catheter,and hospital stay of two groups.Results The incidence of bladder spasm after electro-prostatectomy was 25% (24 cases),there was no relationship between the incidence of bladder spasm and operation time (P>0.05),catheter blockage,injection volume of balloon,and traction time were important influencing factors of the incidence of bladder spasm.There were 7 cases of BS in observation group,and 17 cases of BS in control group.The incidence of bladder spasm,the time of bladder irrigation,the time of indwelling catheter,and hospital stay in observation group were 29.2%,(39.19±8.27)h,(4.43±1.20)h,(6.48±2.07)d,and those in control group were 70.8%,(47.55±10.08)h,(7.52±1.93)h,(9.72±1.68) d,with statistically significant differences (P<0.05).Conclusions There are relationship between the incidence of bladder spasm after operation and catheter blockage,traction time,injection volume of balloon.When the catheter blockage upgrades,injection volume of balloon increases,traction time prolongs,bladder spasm after electro-prostatectomy is more likely to occur.Evidence-based nursing can effectively reduce the incidence of bladder spasm,promote the convalescence of patients,worth popularizing and applying.%目的 研究前列腺电切术后并发膀胱痉挛(BS)的原因及循证护理的应用价值.方法 选取本院2012年7月至2014年7月96例前列腺增生症(BPH)患者为研究对象,将患者随机分为观察组和对照组,每组48例,观察组采用循证护理,对照组采用常规护理,分析术后BS发生率与尿管堵塞、有无牵引、牵引时间、手术时间、气囊注水量的关系,比较两组的BS发生率、膀胱冲洗时间、留置导尿时间、住院时间.结果 前列腺电切术(TURP)术后共发生并发症BS 24例,发生率为25%,手术时间与BS发生率没有相关性(P>0.05),尿管堵塞、气囊注水量、牵引时间是TURP术后发生BS的重要影响因素(P<0.05).观察组出现BS 7例,对照组出现BS 17例.观察组的BS发生率、膀胱冲洗时间、留置导尿时间、住院时间分别为29.2%、(39.19±8.27)h、(4.43±1.20)h、(6.48±2.07)d显著小于或短于对照组的70.8%、(47.55±10.08)h、(7.52±1.93)h、(9.72±1.68)d,两组比较差异有统计学意义(P<0.05).结论 TURP术后并发症BS的发生与尿管堵塞、气囊注水量、牵引时间有关.尿管越堵塞,气囊注水量越多,牵引时间越长,越容易引起TURP术后BS的发生.循证护理可以有效减少TURP术后并发症BS的发生,促进患者的康复,值得临床应用和推广.