输尿管镜下钬激光碎石术的护理配合.docVIP

输尿管镜下钬激光碎石术的护理配合 [摘要] 目的 对输尿管镜下钬激光碎石术治疗输尿管结石患者进行护理配合的效果进行观察。方法 76例入选进行输尿管镜下钬激光碎石术的输尿管结石患者随机分为干预组和对照组各38例，对照组仅予随意的护理和指导，干预组采取系统的护理配合措施，比较两组的护理配合效果。结果 干预组的结石清除成功率虽然高于对照组，但与对照组比较无明显差异，但干预组术后并发症的发生率仅5.3%，明显低于对照组（p＜0.05）。干预组的住院时间均明显短于对照组（p＜0.05）。 结论 对输尿管镜下钬激光碎石术治疗输尿管结石患者实施系统的、有效的围术期的护理干预措施，能够有效地提高治疗效果。 [关键词] 输尿管镜；钬激光碎石术；输尿管结石；护理 [中图分类号] r693.4；r473.72 [文献标识码] b [文章编号] 1673-9701（2011）36-62-02 ureteroscopic holmium laser lithotripsy treatment in ureteral stones and caring chen fang pingyang country people’s hospital, pingyang 325400, china [abstract] objective to observe the effect of ureteroscopic holmium laser lithotripsy treatment ureteral calculi. methods all of 76 patients were randomized to the intervention group and control group 38 cases，the control group was only to be free of care and guidance，the intervention group was taken the measures by the system of care，to compare two groups effect. results the intervention group had although the higher the success rate of stone clearance，but compared with the control group，it showed no significant difference，but the incidence of postoperative complications in the intervention group was only 5.3%，significantly lower than the control group（p＜0.05）.the stay hospital of the intervention group was significantly shorter than the control group（p＜0.05）. conclusion ureteroscopic holmium laser lithotripsy of ureteral calculi in patients with the implementation of the system is effective，and the perioperative nursing interventions can effectively improve the therapeutic effect. [key words] ureteroscopy；holmium laser lithotripsy；ureteral calculi；care 输尿管结石是泌尿外科的常见病、多发病之一，近年来治疗方法较多，其中输尿管镜下钬激光碎石术在我院应用较为广泛，并取得了较好的治疗效果[1]。因此，术中采取有效的护理配合措施对于提高手术成功率、降低术后并发症发生率、提高护理满意度则具有重要的意义。 1 资料与方法 1.1临床资料 选取2008年1月～2010年1月我院泌尿外科住院治疗的76例输尿管结石患者作为观察对象，其中男46例，女30例，年龄22～71岁。将以上患者根据实施护理干预方法的不同随机分为干预组和对照组各38例，两组患者的年龄、性别、结石部位及结石直径、合并疾病等其他临床资料比较，差异无统计学意义（p＞0.05），具有可比性。两组一般资料比较见表1。 1.2 护理配合 两组入选对象均采用钬激光机器和硬质输尿管镜在安全导丝引导下进入输尿管，确定结石位置进行碎石，术