2种休息体位对mPCNL患者术后恢复的影响  

Effect of Two Different Rest Position on Postoperative Recovery in mPCNL Patients

作　　者：曾伶芝 刘凤鸣[1] 

机构地区：[1]湖南省桃江县人民医院,湖南桃江413400

出　　处：《中外医疗》2010年第3期13-14,共2页China & Foreign Medical Treatment

摘　　要：目的比较2种休息体位对微创经皮肾取石术(mPCNL)患者术后恢复的影响。方法将110例拟行mPCNL术的肾结石患者随机分为观察组和对照组,各55例。观察组术后采用半坐卧位为主、健侧卧位为辅的休息体位,对照组采用仰卧位为主、健侧卧位为辅的休息体位。比较2组患者术后恢复情况。结果观察组肛门排气时间、拔造瘘管时间、住院时间明显短于对照组,差异有统计学意义,均P<0.01(t=6.325,11.180,9.806)。观察组术后发热、伤口疼痛、尿瘘等并发症发生率明显低于对照组,差异有统计学意义,P<0.01(?2=5.983,34.313,10.714)。结论mPCNL术后采用半坐卧位为主、健侧卧位为辅的休息体位有助于患者胃肠功能恢复,减少术后并发症的发生。Objective To compare the effect of two different rest position on postoperative recovery in mPCNL patients.Methods 110 renal calculi patients scheduled for mPCNL were randomly assigned to the observation and control group,each consisting 55 cases.The observation group rested in the position such as half sitting decubitus position plus unjuried side in lateral position,while the control group did in the position such as supine position plus unjuried side in lateral position.The postoperative recovery of the both two groups was compared.Results The times for anus passage,tube removal and hospital stay were markedly shorter in the observation group than in the control group,with significant differences,all P 〈0.01（t =6.325,11.180,9.806）.The incidence rates for the postoperative complications such as fever,wound pain and urinary fistula were markedly lower,all P〈 0.01（χ^2=5.983,34.313,10.714）.Conclusion The half sitting decubitus position plus unjuried side in lateral position after mPCNL can facilitate the recovery of gastrointestinal function and decrease in the postoperative complications

关 键 词：经皮肾取石术 肾结石 体位 康复 

分 类 号：R472.3[医药卫生—护理学]