摘要
目的研究全麻下软式输尿管镜下输尿管结石钬激光碎石患者的护理。方法随机选择本院收治的118例输尿管结石患者,按双盲数字法将其分为对照组和观察组。所有患者均采用全麻下软式输尿管钬激光碎石术治疗,对照组进行常规护理,观察组进行系统强化护理,对患者的护理结果进行统计分析。结果通过对比,观察组一次清除结石的成功率(91.53%)高于对照组(81.36%);观察组并发症的发生率3.39%低于对照组并发症发生率8.47%。观察组患者SDS评分、住院时间、VAS评分及SAS评分优于对照组(P<0.05)。观察组对相关知识了解程度(88.14%)、治疗配合度(91.53%)高于对照组患者知识了解程度(76.27%)、治疗配合度(74.58%)。结论采用全麻下软式输尿管镜下钬激光碎石术治疗输尿管结石,同时加强患者治疗过程系统强化护理,增强患者的治疗的配合度及对相关疾病知识的了解,值得普及推广。
Objective To study nursing of ureteral calculi patients treated by holmium laser lithotripsy by ureteral soft mirror under general anesthesia. Methods A total of 118 patients with u- reteral calculi in our hospital were randomly divided into control group and observation group accord- ing to the double blind number method, all patients carried out general anesthesia by soft ureteral holmium laser lithotripsy, the control group was given routine nursing care and the observation group was given intensive care. And the nursing results of patients were statistically analyzed. Results The observation group had higher one-time success rate of clear stone than the control group （91.53% vs. 81.36% , P 〈 0.05） ; The incidence rates of complications in the observation group was 3.39% , which was significantly lower than 8.47 % in the control group （P 〈 0.05 ）. The hospitalization time, SDS score, VAS score and SAS score of the observation group were significantly better than that of the control group （ P 〈 0.05 ）. The observation group had significantly higher related knowledge and treatment compliance than that in the control group（88.14% , 91.53% vs. 76.27%, 74.58%, P 〈 0.05 ）. Conclusion Holmium laser lithotripsy by ureteral soft mirror under general anesthesia can strengthen treatment cooperation, the awareness of related disease knowledge, improve the rehabilitation effect of patients, and it is worth of popularizing.
作者
张海艳
赵文彩
王蕊梅
董青川
刘全海
屈卫星
程永毅
ZHANG Haiyan ZHAO Wencai WANG Ruimei DONG Qingchuan LIU Quanhai QU Weixing CHENG Yongyi(Department of Urology, Shaanxi People＇s Hospital, Xi＇an, Shaanxi, 710061)
出处
《实用临床医药杂志》
CAS
2017年第18期75-77,共3页
Journal of Clinical Medicine in Practice
基金
陕西省科技厅科技攻关项目(2010JM4043)
关键词
护理
输尿管结石
钬激光碎石
全麻下软式输尿管
nursing
ureteral calculi
holmium laser lithotripsy
ureteral soft under gener- al anesthesia
