护理干预在微创经皮肾镜钬激光碎石术治疗肾结石患者中的应用效果

Application effect of nursing intervention in minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy for patients with renal calculi

目的探究护理干预在微创经皮肾镜钬激光碎石术治疗肾结石患者中的应用效果。方法选取我院2017年10月至2018年10月收治的80例肾结石患者作为研究对象,按照入院顺序将其分为对照组(40例)与观察组(40例)。所有患者均接受微创经皮肾镜钬激光碎石术,在此基础上对照组采用常规围手术期护理,观察组采用护理干预。比较两组患者手术情况、手术前、后疼痛、焦虑、并发症发生情况及手术前、后血肌酐水平。结果观察组的手术时间、住院时间、血尿维持时间均短于对照组,术中出血量少于对照组(P<0.05)。观察组术后的VAS及SAS评分明显低于对照组和术前(P<0.05)。观察组术后并发症总发生率显著低于对照组(P<0.05)。随访3个月,观察组的血肌酐水平低于对照组和术前(P<0.05)。结论在肾结石患者采用微创经皮肾镜钬激光取石术治疗的过程中,对患者实施护理干预不仅有助于降低并发症发生率,而且可以减少手术对患者肾功能造成的损伤,改善患者术后疼痛及焦虑情绪,提高患者预后康复效果,应用效果令人满意。

Objective To explore the application effect of nursing intervention in minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy for patients with renal calculi. Methods Eighty patients with renal calculi admitted in our hospital from October 2017 to October 2018 were selected as the research objects and divided into control group (40 cases) and observation group (40 cases) according to the sequence of admission. All patients underwent minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy. On this basis, the control group received routine perioperative nursing, while the observation group received nursing intervention. The operation condition, post-operative pain and anxiety before and after operation, incidence of complications and serum creatinine levels before and after operation were compared between the two groups. Results The operation duration, hospitalization time and hematuria maintenance time of the observation group were shorter than those of the control group, and the intraoperative bleeding volume was less than that of the control group (P<0.05). The scores of VAS and SAS in the observation group after operation were significantly lower than those in the control group and before operation (P<0.05). The total incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). Following up for 3 months, the level of serum creatinine in the observation group was lower than that in the control group (P<0.05). Conclusion In the course of minimally invasive percutaneous nephrolithotomy with holmium laser for renal calculi, nursing intervention can not only reduce the incidence of complications, but also reduce the damage of renal function, improve the pain and anxiety of patients and enhance patients' prognosis. The application effect is satisfactory.