Effect Of Intestinal Microecological Preparation On The Recovery Of Gastrointestinal Function In Patients After Electrosurgical Prostatectomy

Objective:1.To evaluate the effect of intestinal microecological agents on the postoperative r ecovery of gastrointestinal function in patients undergoing transurethral resection of pro state.2.To evaluate the effect of intestinal microecological agents on postoperative const ipation and abdominal distension,anxiety and depression,length of stay and satisfactio n of patients undergoing transurethral resection of prostate.Methods:1.A total of 120 patients with confirmed benign prostatic hyperplasia(BPH)and planned to undergo transurethral resection of the prostate in the urology department of a class iii and a class a general hospital from April 2014 to January 2019.1 who met the inclusion and exclusion criteria were randomly assigned to the control group and the experimental group according to the random number table method,with 60 cases in each of the control group and the experimental group.2.The control group accepted routine medical care,including preoperative psychol ogical nursing,diet guidance,bowel preparation,postoperative diet guidance and active guidance,the experimental group on the basis of the above,also for intestinal probio tics(yi chang bao)intervention treatment,including 6 h postoperatively in patients wit h guidance for the first time taking the intestinal probiotics,after daily use once,until discharge shit for the first time.Patients in both groups were not allowed to use oth er drugs or foods to promote defecation during the intervention.3.By means of two groups of patients' demographic data,illness,constipation,postoperative 4 h level of anxiety,depression and long overall analysis during surgery,as well as the application of SPSS21.0 statistical software for processing,compare two groups of patients with postoperative exhaust and defecation time,for the first time the occurrence ofconstipation and abdominal distention,length of hospital stay,level of anxiety,depression scores and patient satisfaction scores.Results:1.Intervention to 5 days postoperatively,finally complete the intervention for the number of test group 60 cases,control group a total of 119 cases,59 cases were exp erimental group and control group in demographic data,disease,constipation,data,pos toperative 4 h level of anxiety,depression,and the operation time,difference was not statistically significant(P>0.05),comparable.2.After the intervention,no significant adverse reactions occurred in the patients of the experimental group during the period of taking intestinal microecological agents.The first exhaust time and defecation time of the experimental group were significantly better than those of the control group(P<0.05).The incidence of constipation and abdominal distension in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Postoperative hospitalization time and satisfaction of patients in the experimental group were both better than those in the control group,and the difference was statistically significant(P<0.05).3.Before the intervention,anxiety and depression scores of the two groups were compared 4h after the operation,and the difference was not statistically significant(P>0.05).After the intervention,the scores of anxiety and depression in the two groups were compared between the two groups.The anxiety and depression levels in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Intestinal probiotics as a mild gastrointestinal regulator,more in line with the old constitution,this feature is applied to give priority to with the elderly,postoperatively in patients with transurethral resection of the prostate electricity cut method can promote early recovery of gastrointestinal function after surgery for patients,promote patients early exhaust and defecation,reduce the occurrence of constipation and abdominal distention,shorten hospitalization time,improve patient satisfaction.At the same time,intestinal microecological preparation(yi chang bao)did not increase the occurrence of adverse reactions in patients,and was a safe and feasible intervention method,worthy of clinical application andpromotion.