输尿管镜下气压弹道碎石术治疗尿道结石手术及护理体会

Ureteroscopic pneumatic lithotripsy in treatment of urethral calculus and its nursing experience

目的探究输尿管镜下气压弹道碎石术治疗尿道结石手术及护理体会。方法选取我院在2015年2月-2016年2月收治的61例尿道结石手术患者来作研究的对象。随机将患者分为两个研究小组（对照组和观察组）,对照组有30例患者,观察组有31例患者。所有患者均采用输尿管镜下气压弹道碎石术来进行治疗,对照组患者采用常规护理手段来进行护理,观察组患者则采用全面护理手段来进行护理。治疗结束后,对比两组患者的护理满意度、术中出血量、手术时间、住院时间以及并发症发生概率（穿孔、尿道撕裂、感染）。结果观察组患者的护理满意度（96.77%）、术中出血量、手术时间、住院时间以及并发症发生概率（6.45%）均优于对照组患者的护理满意度（76.67%）、术中出血量、手术时间、住院时间以及并发症发生概率（26.67%）,两组间数据差异存在统计学意义（P〈0.05）。结论对输尿管镜下气压弹道碎石术治疗尿道结石手术患者行全面护理具有良好的临床效果,值得在临床中推广以及应用。

Objective To explore the operation of ureteroscopic pneumatic lithotripsy in treatment of urethral calculus and its nursing experience. Methods 61 cases of urethral calculi patients cured in our hospital from February 2015 to February 2016 were selected as the study objects. They were randomly divided into control group and observation group with 30 cases in control group and 31 cases in observation group. All the patients were treated with ureteroscopic pneumatic lithotripsy, patients in control group were given routine nursing care, and patients in observation group were given comprehensive nursing. After therapy, nursing satisfaction, intraoperative blood loss, operative time, length of hospital stay, and complications（perforation, urethral laceration, infection） of the two groups were compared. Results Nursing satisfaction（96.77%）, intraoperative bleeding volume, operation time, hospitalization time and complication probability（6.45%） in observation group were all better than the nursing satisfaction（76.67%）, intraoperative bleeding volume, operation time, hospitalization time and complication probability（26.67%） in control group, and there was statistically significant differences between the two groups（P〈0.05）. Conclusion For patients with urethral calculus cured with ureteroscopic pneumatic lithotripsy, comprehensive nursing has good clinical effect. It is worthy of popularization and application in clinic.