护理干预对经皮肾镜碎石术后行Ⅱ期清石患者临床效果观察

Clinical efficacy of nursing intervention for stageⅡ calculus cleaning after percutaneous nephrolithotripsy

目的探讨针对经皮肾镜碎石术后行Ⅱ期清石患者给予护理干预的临床方法和效果。方法将68患者随机分成观察组和对照组,每组34例。对照组给予一般护理,观察组在一般护理基础上给予针对性护理干预,观察其临床疗效、疼痛情况和并发症。结果护理干预组在住院时间、拔尿管时间和拔造瘘管时间上与观察组比较,差异均有统计学意义(P<0.01);两组患者的疼痛感比较,差异也有统计学意义(P<0.01);出血和感染并发症比较,差异有统计学意义(P<0.05)。结论在常规护理的基础上,对经皮肾镜碎石术后行Ⅱ期清石患者给予护理干预,能缩短住院时间、拔尿管时间和拔造瘘管时间,减轻患者疼痛,减少并发症,值得在临床上推广应用。

Objective To discuss the clinical methods and efficacy of nursing intervention for stageⅡcalculus cleaning after percutaneous nephrolithotripsy.Methods Totally 68 patients were divided into observation group and control group（n=34）.Rountine nursing care was provided to both groups and some extra nursing intervention was given to observation group.The clinical efficacy,painfulness and complications were analyzed.Results There were significant statistical significances between the two groups in hospital duration,withdrawing time of catheters and nephrostomy tube,painfulness,blooding and infection（P0.01,P0.05）.Conclusion Nursing intervention is effective in shortening hospital duration as well as withdrawing time of catheters and nephrostomy tube,relieving painfulness and reducing complications.It is worthy being applied in the clinics.