简介: 【摘 要】目的:对软镜配合腹腔镜治疗输尿管结石合并肾结石的临床效果进行分析。方法:此研究选择 2017年 9月~ 2018年 12月期间在本院进行治疗的输尿管结石合并肾结石患者 85例,根据患者入院实施手术治疗时间的先后分为两组,探究组( n=42例)和参照组( n=43例),参照组患者实施常规手术治疗,探究组给予软镜配合腹腔镜手术治疗。对两组手术的相关指标进行比对研究。结果:探究组患者的手术时间、住院时间、胃肠道功能恢复时间短于参照组,且探究组的术中出血量相较于参照组显著较少, P<0.05。结论:软镜配合腹腔镜治疗输尿管结石合并肾结石的临床效果较好,术中出血量较低,手术时间短,可促进患者恢复,因此值得开展应用和推广。 【关键词】输尿管结石 ;腹腔镜 ;软镜 ;肾结石 [Abstract] Objective: to analyze the clinical effect of soft mirror combined with laparoscope in the treatment of ureteral calculi with renal calculi. Methods: in this study, 85 patients with ureteral calculi and renal calculi who were treated in our hospital from September 2017 to December 2018 were selected. According to the time of operation, the patients were divided into two groups: the exploration group (n = 42 cases) and the reference group (n = 43 cases). The reference group was treated with conventional operation, and the exploration group was treated with soft mirror and laparoscopic operation. The relative indexes of the two groups were compared. Results: the operation time, hospitalization time and recovery time of gastrointestinal function in the exploration group were shorter than those in the reference group, and the amount of intraoperative bleeding in the exploration group was significantly less than that in the reference group (P < 0.05). Conclusion: the clinical effect of soft mirror combined with laparoscopy is better, the amount of bleeding during operation is lower, the operation time is short, and it can promote the recovery of patients, so it is worthy of application and promotion.
简介: 【摘 要】 目的:观察综合护理干预在肾结石经皮肾镜超声负压碎石清石术中的应用效果。方法:选取行经皮肾镜超声负压碎石清石术肾结石患者 328例,将其分为对照组与干预组各 164例。其中对照组行基础护理措施,干预组行综合护理干预,比较两组患者术后并发症发生情况,并统计术后临床表现、生活质量及护理满意度评分。结果:术后以感染、出血、造瘘管移位发生率最高,但干预组并发症发生率明显低于对照组,差异具有统计学意义( P<0.0);干预组生活质量、护理满意度明显高于对照组,拔管时间、住院时间明显少于对照组,差异具有统计学意义( P<0.0)。结论:经皮肾镜超声负压碎石术术后以感染、出血以及造瘘管移位最为常见,以此进行针对性护理干预可显著降低并发症发生率,提高患者术后生活质量,加快术后康复进程。 【关键词】 经皮肾镜超声负压碎石清石术;术后并发症;护理干预 [Abstract] Objective: To observe the effect of comprehensive nursing intervention in percutaneous nephrolithotomy. Methods: 328 cases of renal calculi were divided into control group and intervention group. Among them, the control group received basic nursing measures, the intervention group received comprehensive nursing intervention, compared the postoperative complications of the two groups, and counted the postoperative clinical performance, quality of life and nursing satisfaction score. Results: the incidence of infection, bleeding and fistula displacement was the highest in the intervention group, but the incidence of complications in the intervention group was significantly lower than that in the control group (P < 0.0); the quality of life and nursing satisfaction in the intervention group were significantly higher than that in the control group, and the time of extubation and hospitalization were significantly shorter than that in the control group (P < 0.0). Conclusion: infection, bleeding and fistula displacement are the most common causes after percutaneous nephrolithotripsy, so targeted nursing intervention can significantly reduce the incidence of complications, improve the quality of life and accelerate the recovery process.
简介:【 摘要】: 目的 观察分析 人文护理在 肾结石术后患者 中的应用效果。方法 选取 2017 年 10 月 ~2019 年 9 月我院收治的行手术治疗肾结石患者 92 例 作为本次的 研究对象,按照随机数字表法将其分为两组:研究组和对照组,每组各有患者 46 例。对照 组给予常规护理干预,研究 组在常规护理基础上融入人文护理关怀。比较两组患者的术后疼痛评分、睡眠效率评分、并发症发生率及护理满意度。结果 与对照组比较,研究组 VAS 评分及并发症发生率明显降低,睡眠效率评分明显升高,差异有统计学意义( P < 0.05 )。研究组患者的护理满意度为 97.83% ,明显高于对照组的 82.61% ,差异有统计学意义( P < 0.05 )。 结论 人文护理可以显著改善 肾结石术后 患者疼痛程度及睡眠质量,降低术后并发症发生率,提高患者的护理满意度, 具有临床推广应用价值。