改良综合护理在微创经皮肾穿刺碎石取石术中的应用

Application of comprehensive care in minimally invasive percutaneous nephrolithotomy

目的探讨改良综合护理在微创经皮肾穿刺碎石取石术(minimally invasive percutaneous nephrolithotomy,MPCNL)中对病人的影响。方法将60例行MPCNL的病人随机分为观察组和对照组各30例,对照组病人采用常规护理方法,观察组在常规护理基础上进行改良综合护理。比较两组病人手术过程生命体征变化及并发症发生情况。结果观察组病人术中生命体征波动明显轻于对照组,并发症发生率明显减少,两组比较,差异具有统计学意义(均P<0.05)。结论对MPCNL病人实施改良综合护理,能使病人在手术过程生命体征保持平稳,降低并发症发生率,减轻手术给病人带来的痛苦。

Objective To study the impact of comprehensive care on the patients who received minimally invasive percutaneous nephrolithotomy （MPCNL）.Methods 60 patients undergoing MPCNL were randomly divided into observation group and control group in equal number. The control group was treated with routine nursing model, while the observation group additionally with modified comprehensive care. Vital signs during surgery and complications after surgery were compared between the two groups. Results Changes in vital signs of patients in the observation group were lighter than those in the control group. Moreover, the incidence of complications was markedly reduced with significant difference （all P 0.05）.Conclusion The implementation of modified comprehensive care in those patients undergoing MPCNL may help to maintain stable vital signs during surgery, reduce the incidence of complications, and alleviate postoperative pain.