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肾铸型或鹿角型结石体外震波碎石的护理及效果观察

The nursing method and effect observation of extracorporeal shock wave lithotripsy for cast mould or staghorn renal calculi
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摘要 目的探讨肾铸型或鹿角型结石体外震波碎石的护理方法,并分析其临床效果。方法选择80例患者,分为两组,每组各40例,观察组采用护理干预,重点进行术前心理干预、术前胃肠道准备,术中生命体征观察、治疗配合,术后体位护理及并发症预防等护理,对照组则实施常规护理,如心理护理、术前准备、术后健康教育等,比较两组患者术前准备医师满意度及治疗时间。结果观察组术前准备医师满意度高于对照组(P<0.05),观察组单次治疗时间短于对照组(P<0.05),治疗后出现术后出血、梗阻、发热及疼痛的比例显著低于对照组(P<0.05)。结论有效的护理干预能减少体外震波碎石术后并发症,提高治疗效率,值得临床推广。 Objective To investigate the care method for extracorporeal shock wave lithotripsy with cast mould or staghorn renal calculi and to analyze its clinical effects. Methods 80 cases were divided into two groups,each group of 40 cases,the observation group was given the nursing interventions,such as focus preoperative psychological,preoperative preparation of the gastrointestinal tract,vital signs observation,postural care with postoperative and prevention of compli- cations,the control group was implemented routine care,such as psychological care,preoperative preparation and postop- erative health education,then surgery preparing satisfaction and treatment time with the two groups were compared. Re- suits Prepare physician satisfaction rate with the observation group was higher than control group (P〈O.O5),the single treatment time with the observation group was shorter than control group (P〈0.05),postoperative bleeding,postoperative obstruction,postoperative fever and proportion of postoperative pain were lower than control group (P〈O.05). Conclusion Effective nursing intervention can reduce complications and improve treatment efficiency with extracorporeal shock wave lithotripsy,so it is worthy of promotion.
作者 宋欣
出处 《中国当代医药》 2014年第10期153-155,共3页 China Modern Medicine
关键词 肾脏 铸型结石 鹿角型结石 体外震波碎石 护理 Kidney Cast stones Staghorn calculi Extracorporeal shock wave lithotripsy Nursing
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