针对性策略对输尿管软镜钬激光碎石术治疗肾结石的效果分析  

Analysis of pertinent method on electronic flexible ureteroscope holmium laser lithotripsy for renal calculi

作　　者：杨飞燕[1] 周梦[1] 林义秋 胡建昆[3] 

机构地区：[1]攀枝花市中心医院手术室,四川攀枝花617067 [2]攀枝花市中心医院CT-MRI室,四川攀枝花617067 [3]四川大学华西医院胃肠外科中心,四川成都610041

出　　处：《西部医学》2017年第5期709-712,共4页Medical Journal of West China

基　　金：国家自然科学基金(81071777)

摘　　要：目的探讨针对性策略在行电子输尿管软镜下钬激光碎石术治疗肾结石患者中的应用效果。方法选择2012年3月~2015年3月期间攀枝花市中心医院行电子输尿管软镜下钬激光碎石术治疗的肾结石患者176例,按照数字随机法分为研究组与对照组,每组88例。对照组患者采取常规护理措施,研究组在此基础上采用针对性策略措施。观察两组患者的治疗效果、恢复时间、不良反应及护理满意度。结果两组患者一次取石成功率对比无明显差异(P>0.05);研究组术后并发症发生率为2.27%,显著低于对照组的10.23%(P<0.05)。研究组尿管留置时间及住院时间显著低于对照组(P<0.05)。治疗前两组患者BUN、Scr比较无统计学差异(P>0.05),治疗后1、2周研究组患者BUN、Scr显著低于对照组(P<0.05)。研究组患者对护理服务的总满意率为97.73%,显著高于对照组的80.68%(P<0.05)。结论针对性策略可以有效提高电子输尿管软镜下钬激光碎石术治疗肾结石的效果,缩短术后恢复时间,降低并发症概率,提高护理满意度,适合临床推广应用。Objective To explore the application effect of pertinent method om electronic flexible ureteroscope holmium laser lithotripsy for renal calculi. Methods 176 patients with kidney stones were divided into study group and control group, 88 cases in each group. The control was treated with routine nursing measures. The study group was treated with pertinent nursing measures on the basis of routine nursing. Results The successful rate of the two groups was not different （P〉0. 05）. The incidence of complications of study group （2. 27%） was lower than that of control group （10. 23%） （P〈0. 05）. The catheter indwelling time and time of hospitalization of study group were shorter than that of control group （P〈0. 05. BUN and Scr in the study group were significantly lower than those in the control group （P〈0. 05） 1 weeks and 2 weeks after treatment. The nursing service satisfaction rate of study group 97.73%） was significantly higher than that of control group （80. 68%） （P〈0. 05）. Conclusion Pertinent method can effectively improve the electron flexible ureteroscope holmium laser lithotripsy for renal calculi effect, shorten the postoperative recovery time, reduce the probability of complications and improve satisfaction.

关 键 词：针对性策略 电子输尿管软镜 钬激光碎石术 肾结石 

分 类 号：R692.4[医药卫生—泌尿科学]