妊娠期肾绞痛的综合护理体会

Comprehensive nursing management of renal colic during pregnancy

目的总结妊娠期肾绞痛的临床护理方法。方法 22例妊娠期肾绞痛患者的护理工作中强调药物治疗护理、疼痛护理、心理干预、饮食护理、外科干预围手术期护理、出院健康指导等综合护理,总结护理方法和经验。结果 22例妊娠期肾绞痛患者经保守治疗有效19例,无效3例,对3例保守治疗无效的患者在局麻下行患侧双J管置入术,手术均顺利,术后疼痛、发热等症状得到较好控制。经随访,所有孕妇均安全度过围产期,顺利分娩健康婴儿。结论综合护理模式是对妊娠期肾绞痛治疗的有益补充,有益于患者疼痛的缓解、结石的排出及顺利分娩。

Objective To summarize the comprehensive nursing measures for patients with renal colic during pregnancy. Methods Totally 22 patients with renal colic during pregnancy were treated with conservative treatment. During the treatment, patients were given comprehensive nursing interventions including medication care, pain management, psychological care, perioperative care, health education before discharge. Results Of 22 patients, 19 cases received a effective outcome after the conservative treatment, 3 cases failed in conservative treatment were treated with double-J ureteral catheterization, and their postoperative pain and fever were well controlled. All women passed through the perinatal period and delivered healthy babies. Conclusion Comprehensive nursing management, as a beneficial complement to treatment of renal colic during pregnancy, can relieve the pain of patients, facilitate expulsion of ureteral stones and ensure the safety of childbirth.