风险评估下护理干预对预防上尿路结石钬激光碎石术后并发尿源性脓毒血症的影响-当代护理.docx

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风险评估下护理干预对预防上尿路结石钬激光碎石术后并发尿源性脓毒血症的影响

【摘要】目的分析在上尿路结石钬激光碎石术患者中开展风险评估下护理干预对预防术后并发尿源性脓毒血症的影响效果。方法随机抽取我医院收治的上尿路结石患者80例。根据随机数字表法分成观察组与对照组各有患者40例，两组患者均接受钬激光碎石术治疗，治疗期间对照组接受常规护理，观察组则开展风险评估下护理干预，对比并分析两组取得的护理效果。结果观察组患者术后平均动脉压、心率以及肾功能各指标保持效果均优于对照组，最终患者的尿源性脓毒血症发生率均低于对照组，（P0.05）。结论通过开展风险评估下护理干预可有效提高上尿路结石钬激光碎石术患者的术后康复效果，减少患者术后尿源性脓毒血症的发生。

【关键词】尿路结石；钬激光碎石术；尿源性脓毒血症；风险评估下护理干预；效果分析

【收稿日期】2024年9月12日【出刊日期】2024年10月24日【DOI】10.12208/j.cnEffectofnursinginterventiononpreventionofurogenicsepsisafterholmiumlaserlithotripsyofupperurinarytractstonesunderriskassessment

【Abstract】ObjectiveToanalyzetheeffectofnursinginterventionunderriskassessmentonthepreventionofpostoperativeurinarysepsisinpatientsundergoingholmiumlaserlithotripsyofupperurinarytractstones.Methods80patientswithupperurinarytractstoneswererandomlyselectedfromourhospital.Accordingtotherandomnumbertablemethod,40patientsweredividedintotheobservationgroupandthecontrolgroup.Bothgroupsreceivedholmiumlaserlithotripsytreatment,thecontrolgroupreceivedroutinecareduringtreatment,andtheobservationgroupreceivednursinginterventionunderriskassessment,andthenursingeffectsofthetwogroupswerecomparedandanalyzed.ResultsThemeanarterialpressure,heartrateandrenalfunctioninobservationgroupwerebetterthanthoseincontrolgroup,andtheincidenceofurogenicsepsisinobservationgroupwaslowerthanthatincontrolgroup(P0.05).ConclusionNursinginterventionunderriskassessmentcaneffectivelyimprovethepostoperativerehabilitationeffectofholmiumlaserlithotripsyofupperurinarytractstonesandreducetheincidenceofpostoperativeurogenicsepsis.

【Keywords】Urinarycalculus;Holmiumlaserlithotripsy;Urogenicsepsis;Nursinginterventionunderriskassess-ment;Effectanalysis

钬激光碎石是一种用于治疗尿路结石的方法，其应用具有高效、安全、精确性和适用范围广的优点。钬激光碎石通过将钬激光器引入尿道，将结石粉碎成小颗粒，便