优质护理在超选择性肾动脉栓塞术治疗经皮肾镜术后出血中的应用

Application of High Quality Nursing for Super- selective Renal Artery Embolization In Treating Bleeding after Percutaneous Nephrolithotomy

目的评估优质护理策略在超选择性肾动脉栓塞术治疗经皮肾镜术后出血的临床应用价值.方法将134例经皮肾输尿管镜碎石取石术患者用随机数字表平均分为对照组与观察组,以上患者均于2010年6月至2015年6月在昆明医科大学第二附属医院接受超选择性肾动脉造影栓塞术治疗经皮肾镜术后出血,术后对照组实施常规护理,实验组给予舒适护理,比较2组护理效果.结果 2组术后进行血尿消失程度和减少并发症发生比较,实验组康复较好,差异有统计学意义.术后均无严重并发症,出院后6月随访患者无明显肾功能损害,未见血尿复发、脓肾、尿囊肿.结论对超选择性肾动脉栓塞治疗经皮肾镜术后出血的患者采取术前、术中及术后及时有效的观察及优质护理,是治疗成功的关键.

Objective To evaluate the clinical application of high quality for super-selective renal artery embolization （SRAE） in treating bleeding after percutaneous nephrolithotomy （PCNL） . Methods 134 patients received percutaneous nephrolithotomy were divided into control group （67 patients） and observation group （67 patients） . All of patients with serious bleeding after PCNL were given SRAE in the Second Affiliated Hospital of Kunming Medical College from June 2010 to June 2015. At the same time, we gave high quality nursing to observation group. The patients in control group received routine nursing. The effect of nursing was observed. Results The degree of hematuria disappear of the patients in observation group was higher than that in control group （P〈 0.05） . There were fewer complications in observation group. In the sixth month after discharge, none of them had obvious renal impairment. No recurrence of hematuria, pus kidney and urinary cyst was tested. All cases were satisfied with the treatment. Conclusion It＇s the key to prevent serious complications and cure successfully with effective and timely supervision and high quality nursing care during the perioperation of SRAE in treating bleeding after PCNL.