前馈控制联合手术室护理对经皮肾碎石取石术患者手术并发症及术后恢复时间的影响  

Effect of Feedforward Control Combined with Operating Room Nursing on Surgical Complications and Postoperative Recovery Time in Patients Undergoing Percutaneous Nephrolithotomy

作　　者：唐斐 杨琴 TANG Fei;YANG Qin(Operating Room of Wanzai County People's Hospital,Wanzai 336100,Jiangxi,China)

机构地区：[1]万载县人民医院手术室,江西万载336100

出　　处：《医学信息》2024年第20期163-166,共4页Journal of Medical Information

摘　　要：目的研究前馈控制联合手术室护理对经皮肾碎石取石术(PCNL)患者手术并发症及术后恢复时间的影响。方法以2019年3月-2023年3月万载县人民医院拟行PCNL治疗的50例患者为研究对象,经随机数字表法分为对照组(25例)与观察组(25例)。对照组采用常规手术室护理,观察组则开展前馈控制联合手术室护理,比较两组围术期血流动力学水平[平均动脉压(MAP)、心率(HR)]、体温、手术并发症及术后恢复时间(术后拔管时间、术后住院时间)。结果两组手术开始后30 min、术后30 min的血流动力学水平(MAP、HR)均低于术前,但观察组高于对照组(P<0.05);观察组手术开始后30 min、术后30 min体温值高于对照组(P<0.05);观察组手术并发症发生率低于对照组(P<0.05);观察组术后拔管时间、术后住院时间短于对照组(P<0.05)。结论前馈控制联合手术室护理可减少PCNL患者的围术期血流动性波动,保持其体温稳定,降低手术并发症风险,缩短术后恢复时间。Objective To study the effect of feedforward control combined with operating room nursing on surgical complications and postoperative recovery time in patients undergoing percutaneous nephrolithotomy(PCNL).Methods A total of 50 patients who underwent PCNL in Wanzai County People's Hospital from March 2019 to March 2023 were divided into control group(25 patients)and observation group(25 patients)by random number table method.The control group was treated with routine operating room nursing,while the observation group was treated with feedforward control combined with operating room nursing.The perioperative hemodynamic levels[mean arterial pressure(MAP),heart rate(HR)],body temperature,surgical complications and postoperative recovery time(postoperative extubation time,postoperative hospital stay)were compared between the two groups.Results The hemodynamic levels(MAP,HR)of the two groups at 30 min after operation and 30 min after operation were lower than those before operation,but those of the observation group were higher than those of the control group(P<0.05).The body temperature of the observation group was higher than that of the control group at 30 min after the start of the operation and 30 min after the operation(P<0.05).The incidence of surgical complications in the observation group was lower than that in the control group(P<0.05).The postoperative extubation time and postoperative hospital stay in the observation group were shorter than those in the control group(P<0.05).Conclusion Feedforward control combined with operating room nursing can reduce the perioperative blood flow fluctuation of PCNL patients,maintain their body temperature stability,reduce the risk of surgical complications,and shorten the postoperative recovery time.

关 键 词：经皮肾碎石取石术 手术室护理 前馈控制 低体温 血流动力学 术后恢复时间 

分 类 号：R473[医药卫生—护理学]