摘要
目的:探讨术前体位训练结合术中体位护理对经皮肾取石术(PCNL)患者的影响。方法:采用隐匿数字随机法将2015年1~12月拟行PCNL的112例肾结石和输尿管结石患者分为对照组和观察组各56例,对照组采用常规护理,观察组实施术前体位训练结合术中体位护理,比较两组血压、心率变化及手术综合征发生情况。结果:俯卧位和侧卧位时,对照组和观察组收缩压、心率均明显低于术前(P<0.05);观察组俯卧位、侧卧位时收缩压降低幅度小于对照组,心率减少次数明显少于对照组(P<0.05);观察组体位综合征发生率低于对照组(P<0.05)。结论:术前体位训练结合术中体位护理可提高患者对术中体位变化的耐受性,保持术中心率和血压相对稳定,减少手术体位综合征的发生率。
Objective：To investigate the effects of preoperative postural training combined with postural nursing on patients undergoing percutaneous nephrolithotomy （ PCNL） . Methods：A total of 112 cases with renal caculi and ureteral calculi undergoing PCNL were dividen into the control group and the observation group by using the hidden digital random method from January to December in 2015,56 cases in each group. The control group was treated with routine nursing care,while the observation group received the preoperative postural training combined with postural nursing care. Blood pressure,heart rate changes and the incidence of surgical syndrome were compared between two groups. Results：The control group′s and the observation group′s systolic blood pressure and heart rate in both the prone position and lateral position were significantly lower than those before operation （P〈0. 05）. The observation group′s systolic blood pressure decrease degree in prone position and lateral position was significantly less than that of the control group. The observation group′s decrease number of heart rate was significantly less than that in the control group （P〈0. 05）. The observation group′s the incidence of postural syndrome was signif-icantly lower than that in the control group （P〈0.05）. Conclusion：Preoperative postural training combined with intraoperative posture nursing can improve the patients′tolerance to the change of body position during operation,maintain the relative rate of operation center and blood pressure,and reduce the incidence of surgical posture syndrome.
作者
付淑敏
Fu Shumin(Beijing An Zhen Hospital Affiliated to Capital Medical University, Beifing 100029, China)
出处
《齐鲁护理杂志》
2017年第4期17-19,共3页
Journal of Qilu Nursing
关键词
体位训练
体位护理
经皮肾取石术
体位综合征
Position training
Body position nursing care
Percutaneous renal stone extraction for
Position syndrome
