经皮肾镜碎石术手术体位对患者循环呼吸功能的影响及护理

Effect of Body Position during Percutaneous Nephrolithotomy on Circulation and Respiration Function of Patients and its Nursing

目的探讨经皮肾镜碎石术的两种手术体位对循环呼吸功能的影响,并提出护理措施。方法回顾性总结42例行经皮肾镜碎石术患者平均血压(MBP)、心率(HR)、血氧饱和度(SaO2)及患者舒适度的反应,选麻醉前、麻醉后10 min、截石位后、俯卧位后及术中每30 min为记录时间点。结果42例患者麻醉10min后至俯卧后30 min内血压与麻醉前相比明显下降,血氧饱和度在俯卧位后及麻醉辅助用药后下降。结论采取相应的护理措施,稳定生命体征,可减少并发症。

Objective To explore the influence of body position during percutaneous nephrolithotomy （PCNL） on circulation and respiration function of patients and its nursing. Methods The mean blood pressure, heart rate,SaO2 and comfort degrees of 42 patients undergone PCNL were retrospectively analyzed. The data were collected at the following time points： before anaesthesia, 10 rain after anaesthesia,after lithotomy position, after prone position, and every 30 min during operation. Results The blood pressure decreased significantly 10 min after anaesthesia and 30 min after prone position in all of the 42 patients, and the SaO2 declined after prone position and administration of adjuvant anaesthesia drugs. Conclusion Appropriate nursing measures can maintain stable vital signs and reduce complications in patients undergone PCNL.