经皮肾镜气压弹道联合超声碎石术129例围术期护理  

Perioperative nursing care of 129 cases of kidney stone treated with percutaneous nephrolithotomy combined with pneumatic and ultrasonic power

作　　者：刘少慧[1] 陈林静[1] 

机构地区：[1]烟台毓璜顶医院,山东烟台264000

出　　处：《齐鲁护理杂志（下半月刊）（外科护理）》2008年第12期5-6,共2页Journal of Qilu Nursing

摘　　要：目的：探讨经皮肾镜气压弹道联合超声碎石术围术期的护理方法。方法：对129例经皮肾镜气压弹道联合超声碎吸术患者，术前做好手术准备；术中密切配合；术后进行手术器械的灭菌、清洗及保养，做好并发症观察及护理工作，指导患者取舒适体位，进行手术器械的灭菌、清洗及保养，做好灌洗护理。结果：本组发生肾盂穿孔2例，术中出血10例。结石粉碎率100％，结石取净率91．7％。平均住院8d。随访1～6个月，均未发生严重出血及感染等并发症。结论：精心的围术期护理可保证经皮肾镜气压弹道联合超声碎石术顺利完成，促进患者康复，降低并发症发生率。Objective ： To explore the method of nursing care in the treatment of kidney stone with percutaneous nephrolithotomy combined with pneumatic and ultrasonic power. Methods： Percutaneous nephrolithotomy combined with pneumatic and ultrasonic power was applied to 129 patients with kidney stone. Fully preoperative preparation, close cooperation in op- eration and postoperative observation were carried out, and instruction on posture and nursing care of irrigation given to the patients. Results ： Perforation of renal pelvis occurred in 2 patients, hemorrhage in 10 patients. The pulverizing rate of stone was 100% and clearance rate was 91.7%. The average days of hospitalization were 8 days. No severe hemorrhage and in- fection occurred by following up for one to 6 months. Conclusion： Careful perioperative nursing care can ensure successful performance of percutaneous nephrolithotomy combined with pneumatic and ultrasonic power, reduce complication and pro- mote patient＇ s rehabilitation.

关 键 词：结石 经皮肾镜气压弹道联合超声碎石术 围术期护理 

分 类 号：R473.6[医药卫生—护理学]