经皮肾镜碎石术治疗肾结石合并糖尿病围术期护理体会

Percutaneous Nephrolithotomy for the Treatment of Renal Calculi Complicated with Diabetes

目的在肾结石合并糖尿病采用经皮肾镜碎石术(PCNL)的治疗中,讨论围术期的护理体会。方法纳入90例2018年3月-2019年3月该院肾结石合并糖尿病患者开展研究,所有研究对象均进行PCNL治疗,按随机排列法选出45例作为对照组:基础护理;剩余45例作为研究组:围术期护理;比较两组护理效果。结果经检验,两组Glu水平及SAS评分对比,护理前均差异无统计学意义(P>0.05),护理后研究组均比对照组低(P<0.05);两组结石清除率对比,研究组为91.11%,比对照组80.00%高(P<0.05);两组并发症发生率对比,研究组为4.44%,比对照组13.33%低(P<0.05)。结论在肾结石合并糖尿病患者行PCNL治疗中,围术期需加强对患者血糖的控制,能有效提高结石清除率,减少并发症。

Objective To discuss the perioperative nursing experience in the treatment of renal calculus with diabetes mellitus with percutaneous nephrolithotomy(PCNL). Methods A total of 90 patients with March 2018 to March 2019 kidney stones and diabetes mellitus were enrolled in the study. All subjects were treated with PCNL. 45 patients were selected as the control group by randomization: basic nursing;the remaining 45 patients were used as study group: perioperative period nursing;compare the effects of the two groups. Results After examination, there was no significant difference in Glu level and SAS score between the two groups(P>0.05). The post-nursing group was lower than the control group(P<0.05). The stone removal rate of the two groups was compared. 91.11%, 80.00% higher than the control group(P<0.05);the incidence of complications in the two groups was 4.44% in the study group, which was lower than the control group 13.33%(P<0.05). Conclusion In the treatment of PCNL with renal calculi and diabetes, the control of blood glucose should be strengthened during the perioperative period, which can effectively improve the stone clearance rate and reduce complications.