摘要
目的:探讨体位管理在经皮肾镜碎石术治疗肾结石患者中的应用效果。方法:将2014年1月~2017年1月60例行经皮肾镜碎石术治疗的肾结石患者随机等分为观察组和对照组,对照组采取围手术期常规护理;观察组在对照组基础上加以体位管理。比较两组患者围手术期生命体征相关指标、肛门排气时间、住院时间、舒适度及并发症等情况。结果:观察组俯卧位后脉搏、呼吸频率均明显低于对照组,收缩压、舒张压高于对照组;术中60 min脉搏、收缩压均低于对照组,差异有统计学意义(P<0.05)。观察组术后肛门排气时间及住院时间均短于对照组(P<0.05);观察组手术并发症发生率低于对照组,舒适度优于对照组,两组比较差异均有统计学意义(P<0.05)。结论:体位管理能有效维持患者经皮肾镜碎石术中生命体征稳定,减少手术并发症,提高患者舒适度,缩短住院时间。
Objective：To explore the application effect of body position management in patients undergoing percutaneous nephrolithotomy for renal calculi.Methods：A total of 60 patients with kidney stones undergoing percutaneous nephrolithotomy treatment from January 2014 to January 2017 were randomly and equally divided into observation group and control group.The control group received routine perioperative nursing;the observation group received body position management based on the routine nursing of the control group.The perioperative related factors of vital signs,restart of anal exhaust,length of stay,degree of comfort and complications were compared between the two groups.Results：The pulse and respiratory rate in the observation group after prostrate position were significantly lower than those in the control group,the systolic blood pressure and diastolic blood pressure in the observation group were higher than those in the control group;the intraoperative 60-minute pulse and systolic blood pressure in the observation group were lower than those in the control group,and the differences were statistically significant（P〈0.05）.Postoperative restart of anal exhaust and length of stay in the observation group were shorter than those in the control group（P〈0.05）;the incidence of surgical complications in the observation group was lower than that in the control group,and the comfort degree was better than that in the control group,and the differences were statistically significant（P〈0.05）.Conclusion：Body position management can effectively maintain stable life signs in patients undergoing percutaneous nephrolithotomy,reduce operative complications,and improve patient comfort and shorten length of stay.
出处
《护理实践与研究》
2017年第20期65-67,共3页
Nursing Practice and Research
关键词
肾结石
经皮肾镜碎石术
体位管理
Renal calculi
Percutaneous nephrolithotomy
Body position management
