Prostatic hyperplasia is a common disease in older men. Transurethral resection of the prostate (TURP) has the advantages of less pain, higher cure rate, and is currently the “gold standard” for the treatment of prostate enlargement. Strengthening nursing care in the perioperative period is one of the keys to reduce surgical complications. 125 cases were admitted to our department from 2008 to 2011, and we would like to report our experience in perioperative nursing as follows: I. Clinical data 125 cases in this group, aged 75-96 years old, with an average age of 81.5 years, were admitted to our department from 2008 to 2011. The average age of this group was 81.5 years old, and there were 20 cases of preoperative combined coronary heart disease, 63 cases of hypertension, 10 cases of chronic bronchitis, 12 cases of diabetes mellitus, and 10 cases of bladder stones. Second, perioperative care 1, preoperative care (1) psychological care: patients have urinary urgency, urinary frequency, urinary retention and other symptoms, seriously affecting the patient’s quality of life, the essence of the body caused a lot of pain, coupled with a lack of knowledge of the disease and the fear of surgery, caregivers should take the initiative to talk to the patient to understand the patient’s psychological state, patiently explain the necessity and importance of the operation, explain the advantages of the surgical method, to eliminate the fear of the patient that the elderly do not dare to do surgery. To eliminate the fear of the elderly that they dare not do the surgery, and to establish the confidence and courage to overcome the disease, so that they can actively cooperate with the treatment and care in the best psychological state. (2) Preoperative preparation: assist in all routine examinations before surgery. Those who have urinary retention or urinary tract infection should keep urinary catheter or cystostomy tube to keep the urine drainage smooth, do bladder irrigation regularly, and do a good job of skin cleaning. Fasting starts after dinner on the day before surgery; 1 enema is given in the night before surgery, paying attention to the water temperature, fluid volume and hydraulic pressure, with low-pressure and slow-flow effect being the best (1). (2) Intraoperative care (1) Prepare emergency access Open a smooth intravenous access for intraoperative drug administration and rapid fluid replenishment. (2) Pay attention to the patient’s warmth Bladder irrigation is an important factor in heat loss. Elderly people are more sensitive to cold, and a drop in body temperature aggravates the cardiac load. Pay attention to warmth during the operation, and keep the room temperature at about 22-24°. 3, postoperative care (1) vital signs observation: our surgical object is the elderly, mostly complicate cardiac, pulmonary, cerebrovascular and other diseases, poor compensatory function, slow body response. Closely observe the changes of vital signs, observe and record the blood pressure. Pulse every 30 minutes, after stabilization of the condition can be changed to every 1 hour. (2) bladder irrigation care: postoperative saline as irrigation fluid can reduce the electrolysis syndrome and blood loss, saline closed continuous bladder irrigation, to maintain a smooth urethra and irrigation fluid does not retain the bladder, in the case of bleeding should be high-flow irrigation, the liquid can also be a straight line drip, to avoid the catheter is blocked by the blood vessels, such as clots blocked in the process of flushing, should identify the nature of the clots, is a stale clots available If there is a blood clot blockage during irrigation, the nature of the blood clot should be identified, and if it is an old blood clot, it can be rapidly aspirated with a saline 50ML syringe, and repeated several times until the blood clot is aspirated cleanly. After the operation, pay attention to fix the drainage tube properly and keep the balloon catheter unobstructed. When turning over, pay attention to whether the drainage tube is displaced or dislodged, and do not twist or break. 24 hours after the operation, the irrigation fluid becomes clear can be slowed down or stop bladder irrigation, the urethral orifice twice a day with 0.5% iodophor cotton ball scrubbing, sterile drainage bag changed every day. (3) prevention and care of bladder spasm: bladder irrigation should pay attention to the speed and temperature of irrigation, irrigation fluid at room temperature 20-24 degrees is appropriate, the temperature is too high to aggravate bleeding. The temperature is too low, easy to induce bladder spasm. Bladder spasm symptoms (2), bladder area and urethra paroxysmal pain anal swelling, urination, there is flushing fluid out of the urethra next to the urethra, and even bladder flushing fluid retrograde into the flushing tube. Patient irritability, to be good at observation, timely detection of these symptoms, active and enthusiastic talk with patients, stabilize patient’s mood, ask patients to relax, do deep breathing, transfer and distract the patient’s attention, to create a quiet, comfortable environment for the patient, help to establish a relaxed and happy state of mind, the necessary application of diclofenac sodium suppositories 50mg anus plugs, thus playing a preventive role in the occurrence of bladder spasms and alleviate the symptoms of bladder spasms. (4) Complications care: (1) Prevent venous thrombosis of the lower limbs. Long bed rest after surgery can cause hypercoagulability and stagnation of blood, which can easily lead to thrombosis, so encourage patients to move their lower limbs more. (2) Prevention of secondary bleeding. Encourage the patient to drink more water and eat easy-to-digest food to prevent constipation, and try not to do squatting and other actions to increase abdominal pressure within 3 months. (3) Nursing care of urinary incontinence. Patients with temporary urinary incontinence after extubation, can do pelvic floor muscle contraction training, ask the patient to do anal contraction movements or in the process of urination to do the termination of the action, each contraction 3-5 times each training for 10-20 minutes, record the patient to produce urinary urgency to the time of urination, and know as much as possible to endure in order to increase the volume of the bladder. (4) Urethral stenosis care: 3 cases in this group after the removal of the tube appeared in the urine flow thinning urethral dilatation. Nurses should encourage patients to perform urethral dilatation regularly. If the urine is found to become thin after discharge should immediately go to the hospital for follow-up. III.DISCUSSION: BPH is a common disease in elderly men, and TURP perioperative care is important for the success of the operation. Postoperative bladder irrigation requires the use of a large amount of flushing fluid, which can lead to urethral electrolysis syndrome and the decline in body temperature caused by adverse reactions to cardiac function and increase in peripheral vascularization, should be used to warm the flushing fluid, the use of low-pressure irrigation, and close observation of blood glucose and blood c concentration. Vital signs and blood glucose, water electrolytes should be closely monitored in the 24 hours after surgery; continuous oxygen intake for 24 hours, and keep the bladder flushing fluid clear. Therefore, strengthening the perioperative care of patients, implementing health education, and actively cooperating with surgical treatment effectively reduce the surgical risk of patients in order to achieve satisfactory results.