卧位管理对无管化经皮肾镜取石术患者的效果评价  

Effect evaluation of clinostatism management for tubeless percutaneous nephrolithotomy patients

作　　者：陈沁华[1] 

机构地区：[1]茂名市人民医院泌尿外科,525000

出　　处：《中国实用医药》2015年第14期235-236,共2页China Practical Medicine

基　　金：广东省茂名市科技局(项目编号:20140331)

摘　　要：目的探讨无管化经皮肾镜取石术（PCNL）术后患者卧位管理对康复的影响。方法回顾性分析42例无管化经皮肾镜取石术患者的临床资料,术后给予规范化卧位管理。结果术后2例患者有轻微腹胀,4例患者术后第2天需要注射止痛药。38例患者术后第2天均已下床活动,全部患者恢复出院,平均住院天数5 d（传统7~12 d）。结论对无管化经皮肾镜取石术患者术后实施规范化卧位管理,能促进患者康复,进一步减轻患者疼痛,减少腹胀发生,缩短住院时间,减少住院费用。值得临床应用推广。Objective To investigate the influence of clinostatism management on tubeless percutaneous nephrolithotomy （PCNL） patients.Methods Clinical data of 42 tubeless percutaneous nephrolithotomy patients were retrospectively analyzed, and the patients received standardized clinostatism management after operation. Results After operation, there were 2 cases with mild abdominal distension and 4 cases in need of acesodyne injection on the second day after operation. 38 cases could get off the bed on the second day, and all patients were cured and left the hospital with an average hospital stay as 5 （7~12） d.Conclusion Implement of clinostatism management for tubeless percutaneous nephrolithotomy patients can promote their recovery and reduce their pain, abdominal distension, hospital stay and cost. This method is worthy of clinical promotion and application.

关 键 词：无管化 经皮肾镜取石术 卧位管理 

分 类 号：R473.6[医药卫生—护理学]