Influence Of 37℃ Bladder Irrigation Fluid On Bleeding During And After TUPKRP

Objective:This paper mainly aims to promote the intraoperative and postoperative application of 37 bladder ℃ irrigation fluid in transurethral plasmakinetic resection of the prostate(TUPKRP) through comparative study on its intraoperative and postoperative bleeding with room temperate bladder irrigation fluid, so as to reduce intraoperative and postoperative bleeding and promote patients’ recovery.Materials and Methods:According to the inclusion criteria, 166 cases of patients who were undergone TUPKRP in Affiliated Hospital of Qinghai University from November 2013 to October 2014 were selected and were divided into the room temperature group(22±3℃, n=79) and the heating group(37℃, n=87) based on the temperature of their bladder irrigation fluid. Both of the two groups were signed written informed consent. And the TUPKRPs were all performed by Professor at the same under combined spinal epidural anesthesia(CSEA). Kinds and speed of intraoperative and postoperative bladder irrigation fluid and medication of the patients were same. Means of red cell count in discharged bladder irrigation fluid at 5 periods(intraoperative, postoperative 24 h, postoperative 24-48 h, postoperative 48-72 h, and postoperative 72-96h) of two groups were recorded. In addition, patients’ preoperative and postoperative axillary temperature, operation time, mass of excised prostate, total amount of bladder irrigation fluid and postoperative hospitalization days were also recorded. Finally, differences between the two groups were compared and given related statistical analysis.Results:1. Red cell counts of postoperative bladder irrigation fluid in heating group and room temperature group were gradually decreased as the time prolonged and the differences were significant(P<0.05); 2. Among the 4 postoperative periods within 96 h after TUPKRP, red cells in drainage were significantly lower in heating group than in room temperature group(P<0.05); 3. There were no obvious differences between two groups of patients in red cell accounts of intraoperative bladder irrigation fluid(P>0.05); 4. Patients of heating group had smaller decreased body temperature than those in room temperature group(P<0.05); 5. Total amount of bladder irrigation fluid and postoperative hospitalization days were less in heating group(P<0.05).Conclusions:1. This study shows that 37 ℃bladder irrigation fluid is effective to reduce the amount of postoperatively bleeding within 96 h after TUPKRP. 2. This study also shows that 37 ℃bladder irrigation fluid has no obvious effects on intraoperative blood loss of patients with TUPKRP, but it can reduce the decrease of body temperature during operation. 3. This study shows that 37 ℃bladder irrigation fluid can reduce the total amount of irrigation fluid, reduce patients’ postoperative hospitalization days, and promote patients’ recovery. It is worth of application and promotion during and after TUPKRP.