输尿管软镜碎石联合体外冲击波碎石治疗小儿复杂上尿路结石的护理要点及措施

Nursing Key Points and Measures of Ureteroscopic Lithotripsy Complicated with Extracorporeal Shock Wave Lithotripsy for the treatment of Children with Upper Urinary Calculi

目的:探讨输尿管软镜碎石联合体外冲击波碎石治疗小儿复杂上尿路结石的护理要点及措施,并分析护理效果。方法:选择2016年1月至2018年1月在我院行输尿管软镜碎石联合体外冲击波碎石治疗的复杂上尿路结石患儿90例作为研究对象,按随机方式将患者分为对照组和观察组,其中对照组行常规护理,观察组行针对性护理,观察比较两组并发症发生情况和护理满意度。结果:观察组患儿并发症发生率为6.67%,明显低于对照组22.22%,比较差异具有统计学意义(χ2=4.406,P<0.05);观察组患儿总体护理情况优于对照组患儿(Z=-7.2234,P<0.001),比较差异具有统计学意义。结论:上尿路结石患儿实施输尿管软镜碎石联合体外冲击波碎石治疗过程中,分析护理要点并采取针对性的护理措施,对促进患儿康复,提高护理满意度,减少并发症发生起着重要作用。

Objective:To explore the nursing points and measures for the treatment of complicated upper urinary calculi in children with ureteroscopic lithotripsy and extracorporeal shock wave lithotripsy,and to analyze the nursing effect.Methods:From January 2016 to January 2018,90 children with complicated upper urinary tract calculi treated by flexible ureteroscopic lithotripsy combined with extracorporeal shock wave lithotripsy were selected as the study subjects.The patients were randomly divided into control group and observation group.The control group received routine nursing and the observation group received pertinent nursing.The complications and nursing satisfaction of the two groups were observed and compared.Results:The incidence of complications in the observation group was 6.67%,which was significantly lower than that in the control group(22.22%)(χ=4.406,P<0.05).The overall nursing situation of the observation group was better than that of the control group(Z=-7.2234,P<0.001),and the difference was statistically significant.Conclusion:During the treatment of upper urinary tract calculi with ureteroscopic lithotripsy combined with extracorporeal shock wave lithotripsy,it is important to analyze the nursing essentials and adopt pertinent nursing measures to promote the recovery of the children,improve nursing satisfaction and reduce complications.