肾盂输尿管连接部狭窄并发肾结石患者的预见性护理

Predictive Nursing in Patients with Ureteropelvic Junction Stenosis Complicated with Renal Calculi

目的:分析研讨预见性护理对微创治疗肾盂输尿管连接部狭窄并发肾结石患者控制手术部位感染的效果。方法:随机从笔者所在医院2016年3月-2018年12月收治的肾盂输尿管连接部狭窄并发肾结石患者中抽取80例,按其护理方式分为对照组(40例,常规护理)和研究组(40例,预见性护理),比较护理效果。结果:研究组手术部位感染率为2.50%,低于对照组的25.00%,差异有统计学意义(χ~2=8.5375,P=0.0035)。研究组术中出血量少于对照组,术后排气时间、术后住院时间均短于对照组,差异均有统计学意义(P<0.05)。护理前两组NO、IL-6、HSP70、CRP比较差异无统计学意义(P>0.05),护理后研究组各指标均低于对照组,差异均有统计学意义(P<0.05)。结论:肾盂输尿管连接部狭窄并发肾结石患者在接受微创治疗时,同时给予预见性护理干预,可显著降低手术部位感染率,促进术后恢复。

Objective:To analyze and discuss the effect of predictive nursing on minimally invasive treatment of ureteropelvic junction stenosis complicated with renal calculi to control surgical site infection.Method:A total of 80 cases were randomly selected from the patients with ureteropelvic junction stenosis complicated with renal calculi who were admitted to our hospital from March 2016 to December 2018.According to their nursing methods,they were divided into the control group(40 cases,routine nursing)and the research group(40 cases,predictive nursing).The nursing effect was compared.Result:The infection rate of surgical site in the study group was 2.50%,which was lower than 25.00%in the control group,the difference was statistically significant(χ~2=8.5375,P=0.0035).The amount of intraoperative bleeding in the study group was less than that in the control group,the postoperative exhaust time and the postoperative hospitalization time were shorter than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the comparison of NO,IL-6,HSP70 and CRP between the two groups before nursing(P>0.05),and the indexes of the study group after nursing were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Predictive nursing intervention can significantly reduce the infection rate of surgical site and promote the recovery of patients with ureteropelvic junction stenosis complicated with renal calculi who were undergoing minimally invasive surgery.