[1]刘 剑.体位和低体温预见性护理干预对输尿管结石患者输尿管镜下钬激光碎石术后的影响[J].医学信息,2024,37(01):167-170.[doi:10.3969/j.issn.1006-1959.2024.01.030]
　LIU Jian.Effect of predictive Nursing Intervention of Position and Hypothermia on Patients with Ureteral Calculi After Ureteroscopic Holmium Laser Lithotripsy[J].Journal of Medical Information,2024,37(01):167-170.[doi:10.3969/j.issn.1006-1959.2024.01.030]
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体位和低体温预见性护理干预对输尿管结石患者输尿管镜下钬激光碎石术后的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年01期
页码:
167-170
栏目:
护理研究
出版日期:
2024-01-01

文章信息/Info

Title:
Effect of predictive Nursing Intervention of Position and Hypothermia on Patients with Ureteral Calculi After Ureteroscopic Holmium Laser Lithotripsy
文章编号:
1006-1959（2024）01-0167-04
作者:
刘 剑
（德兴市人民医院外科，江西 德兴 334200）
Author(s):
LIU Jian
(Department of Surgery,People ’s Hospital of Dexing,Dexing 334200,Jiangxi,China)
关键词:
体位和低体温预见性护理干预; 输尿管结石; 输尿管镜下钬激光碎石术; 结石清除率
Keywords:
Predictive nursing intervention of position and hypothermia; Ureteral calculi; Ureteroscopic holmium laser lithotripsy; Stone clearance rate
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2024.01.030
文献标志码:
A
摘要:
目的 观察体位和低体温预见性护理干预对输尿管结石患者输尿管镜下钬激光碎石术后的影响。方法 选取2018年8月-2020年8月我院诊治的60例输尿管结石患者为研究对象，采用随机数字表法分为对照组和观察组，各30例。两组均采用输尿管镜下钬激光碎石术治疗，对照组给予常规护理，观察组采用体位和低体温预见性护理干预，比较两组结石清除率、临床手术指标、体温、心率（HR）、平均动脉压（MAP）、术后并发症发生率、护理满意度。结果 观察组结石清除率为93.33%，高于对照组的83.33%（P＜0.05）；观察组排气时间、排便时间、术后第1天VAS评分均小于对照组（P＜0.05）；观察组手术30 min、手术1 h、术毕、术毕1 h体温均高于对照组（P＜0.05）；观察组手术30 min、手术1 h、术毕HR和MAP均小于对照组（P＜0.05）；观察组术后并发症发生率为6.67%，低于对照组的16.67%（P＜0.05）；观察组护理满意度为96.67%，高于对照组的86.67%（P＜0.05）。结论 体位和低体温预见性护理干预可促进输尿管结石患者输尿管镜下钬激光碎石术后恢复，缩短术后下床活动、排气时间，减轻患者疼痛，提高结石清除率，降低并发症发生率，提升护理满意度，减小对心率和动脉压的影响，具有相对更优的效果。
Abstract:
Objective To observe the effect of position and hypothermia predictive nursing intervention on patients with ureteral calculi after ureteroscopic holmium laser lithotripsy.Methods Sixty patients with ureteral calculi diagnosed and treated in our hospital from August 2018 to August 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 30 patients in each group. Both groups were treated with ureteroscopic holmium laser lithotripsy. The control group was given routine nursing. The observation group was treated with body position and hypothermia predictive nursing intervention. The stone clearance rate, clinical operation index, body temperature, heart rate (HR), mean arterial pressure (MAP), incidence of postoperative complications and nursing satisfaction were compared between the two groups.Results The stone clearance rate of the observation group was 93.33%, which was higher than 83.33% of the control group (P<0.05). The exhaust time, defecation time and VAS score on the first day after operation in the observation group were lower than those in the control group (P<0.05). The body temperature of the observation group was higher than that of the control group at 30 min after operation, 1 h after operation, at the end of operation and 1 h after operation (P<0.05). The HR and MAP of the observation group were lower than those of the control group at 30 min, 1 h and the end of operation (P<0.05). The incidence of postoperative complications in the observation group was 6.67%, which was lower than 16.67% in the control group (P<0.05). The nursing satisfaction of the observation group was 96.67%, which was higher than 86.67% of the control group (P<0.05).Conclusion Predictive nursing intervention of position and hypothermia can promote the recovery of patients with ureteral calculi after ureteroscopic holmium laser lithotripsy, shorten the time of getting out of bed and exhaust after operation, reduce the pain of patients, improve the stone clearance rate, reduce the incidence of complications, improve the satisfaction of nursing, reduce the impact on heart rate and arterial pressure, and has a relatively better effect.

参考文献/References:

[1]练文勇,汪利民,徐火松,等.输尿管镜钬激光碎石术与气压弹道碎石术治疗下段输尿管结石的临床疗效分析[J].现代生物医学进展,2017,17(19):3678-3680,3684.[2]李辉,王伟高,谢波.输尿管镜钬激光碎石术对输尿管结石术患者发生感染的可行性及安全性研究[J].中华医院感染学杂志,2015(8):1857-1859.[3]Mitsui Y,Wada K,Araki M,et al.Ureterolithotripsy for a Ureteral Calculus at the Ureteroureterostomy of a Renal-transplant Recipient[J].Acta Med Okayama,2017,71(5):449-452.[4]林艳玲,祝妍华,肖丽华.输尿管镜联合钬激光治疗肾输尿管结石的临床护理[J].海南医学,2016,27(12):2060-2062.[5]王利蓉,刘才兰.舒适护理在输尿管结石体外碎石术中的效果及改善患者预后的意义[J].中国医药科学,2016,6(19):100-102,167.[6]黄燕芬.快速康复理念在经尿道输尿管镜钬激光碎石围手术期护理中的应用探析[J].医学理论与实践,2019,32(9):1422-1423.[7]伍仲秀.经尿道电子输尿管软镜下钬激光碎石术50例护理配合[J].中国医药科学,2017,7(2):116-118.[8]李秀红.输尿管软镜碎石联合体外冲击波碎石治疗小儿复杂上尿路结石的护理要点及措施[J].河北医学,2018,24(10):1755-1758.[9]张金萍,应莉.体外冲击波碎石并发症的预防与护理[J].临床护理杂志,2017,16(2):60-62.[10]郑轶.整体护理干预在泌尿系结石患者体外冲击波碎石术治疗中的应用效果[J].河南医学研究,2018,27(21):4016-4017.[11]杨丽珠.整体护理在体外冲击波碎石术治疗孤立肾结石患者围术期护理中的应用[J].中华现代护理杂志,2017,23(33):4267-4270.[12]陆荣枢,蔡慧,潘小蔓.预见性护理干预在预防体外冲击波碎石术后并发症中的应用价值[J].吉林医学,2016,37(7):1790-1791.[13]曹宏梅.预见性护理干预在肾结石经尿道电子输尿管软镜下钬激光碎石术护理中的应用效果[J].河南医学研究,2018,27(11):2092-2093.[14]高艳芹.低体温预见性护理干预对输尿管结石患者输尿管镜下钬激光碎石术后的影响[J].护理实践与研究,2019,16(5):61-62.[15]彭丽贞.等体温冲洗液对输尿管镜下钬激光碎石术患者体温影响的研究[J].实用临床医学,2016,17(6):84-87.[16]刘松梅.低体温预防护理在围术期患者中的应用[J].齐鲁护理杂志,2016,22(8):91-92.[17]夏海禄,易杰,黄宇光.充气式温毯预保温联合液体加温对肺叶切除术患者体温及热舒适度的影响[J].基础医学与临床,2017,37(5):718-722.[18]何慧玲.充气式保温毯预保温和常规棉被覆盖保温在妇科 腹腔镜手术围术期中的应用对比[J].医学理论与实践,2018,31(21):3285-3286.[19]李彬彬,张劲勍,谭兴银,等.侧卧位输尿管镜碎石术在输尿管上段结石治疗中的临床应用价值[J].微创泌尿外科杂志,2018,7(6):379-384.[20]魏礼杰.侧卧体位下输尿管镜气压弹道与钬激光治疗输尿管中上段嵌顿性结石并息肉的疗效比较[J].河北医药,2018,40(13):2011-2014.

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更新日期/Last Update: 1900-01-01