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护理本科毕业论文论文大全
护理本科毕业论文_论文大全
护理,是国内很重要的行业之一,那么护理的毕业论文应该怎么写呢?以下是小编整理的关于论文的相关内容,欢迎阅读和参考!
护理本科毕业论文_论文大全
题目:斜卧截石位在微创经皮肾镜碎石术中的应用研究
摘要
目的 探讨三种不同体位对微创经皮肾镜碎石取石术(PCNL)患者的影响。方法 将180例微创经皮肾镜碎石手术患者,按手术体位分为俯卧位、侧卧位、斜卧截石位,每组各60例。观察3种体位安置前后患者心率、血压的变化;记录手术时间,出血量,术中并发症发生情况;结石清除率及患者术后的舒适度。护士对3种体位手术护理工作强度的评价。 结果 3种体位均能顺利完成手术,斜卧截石位体位安置后血压、心率比其余两种体位更稳定,手术时间明显缩短。侧卧位术后出现肢体不适高于其余两组。俯卧位出现胸膜损伤3例,4例肠道损伤,侧卧位发生4例胸膜损伤,肠道损伤2例;斜卧截石位肠道损伤1例;斜卧结石位明显降低护士工作强度。结论 PCNL患者采用斜卧截石位,能稳定患者的呼吸循环功能,减少并发症的发生,便于医生
操作,减少护士的工作量。
【关键词】 经皮肾镜;碎石取石;体位;
Abstract
Objective To investigate the three different postural rubble of minimally invasive percutaneous nephrolithotomy lithotomy (PCNL) in patients affected. Methods 180 cases of minimally invasive percutaneous nephrolithotomy lithotripsy patients, surgical position into the prone position, lateral position, recumbency the lithotomy position, each group had 60 cases. Observation of the patient#39;s heart rate, blood pressure before and after the placement of the three kinds of postural changes; recording operative time, blood loss, intraoperative complications happened; stone clearance rate and the postoperative comfort. Nurse surgery three kinds of postural strength evaluation of nursing work. Results Three kinds of postural able to successfully complete the surgery, recumbency after the placement of the lithotomy position postural blood pressure, heart rate is more stable than the other two positions, the operative time was significantly shortened. The lateral bit postoperative limb discomfort than the other two groups. Three cases of pleural injury prone position, four cases of intestinal injury, the lateral position four cases of pleural injury, two cases of intestinal injury; decumbens lithotomy position intestinal injury cases; the Reclining stones the bit significantly reduce the intensity of the work of nurses. Conclusion PCNL patients with recumbency the lithotomy position, able to stabilize the patient#39;s respiratory and circulatory function, reduce the incide
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