经皮肾镜气压弹道碎石术治疗及其术中护理配合效果

Treatment of percutaneous nephrolithotomy with pneumatic lithotripsy and the effect of nursing cooperation during operation

目的:探究应用经皮肾镜气压弹道碎石术治疗肾结石患者并给予术中护理配合的效果。方法:2016年12月-2019年12月收治肾结石患者100例,随机分为两组,各50例。对照组仅应用传统开腹手术治疗;观察组采用经皮肾镜气压弹道碎石术治疗,并给予术中护理配合。比较两组结石净取率、治疗数据及术后并发症发生率。结果:观察组结石Ⅰ期净取率高于对照组,术中出血量少于对照组、离床活动时间及住院时间均短于对照组,并发症发生率少于对照组,差异有统计学意义(P<0.05)。结论:应用经皮肾镜气压弹道碎石术治疗肾结石患者并给予术中护理配合的效果显著,可有效提高患者结石Ⅰ期净取率,术后并发症少,利于患者身体康复。

Objective:To explore the effect of percutaneous nephroscopic pneumatic lithotripsy and intraoperative nursing cooperation in the treatment of patients with renal calculi.Methods:From December 2016 to December 2019,100 patients with renal calculi were selected,they were randomly divided into the two groups with 50 cases in each group.The control group was only treated with traditional laparotomy.The observation group was treated with percutaneous nephroscopic pneumatic lithotripsy and intraoperative nursing cooperation.The net stone removal rate,treatment data and the incidence of postoperative complications were compared between the two groups.Results:The first-stage net removal rate of stones in the observation group was higher than that in the control group,the amount of intraoperative bleeding was less than that in the control group,the time of getting out of bed and the time of hospitalization in the observation group were shorter than those in the control group,and the incidence of complications in the observation group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion:The application of percutaneous nephroscope pneumatic lithotripsy and intraoperative nursing cooperation in the treatment of patients with renal calculi is effective,which can effectively improve the stone removal rate of the first stage,reduce postoperative complications,and is beneficial to the physical rehabilitation of the patients.