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目的:观察和分析护理干预对经皮肾镜取石术处理上尿路结石的影响。方法:抽取82例上尿路结石行经皮肾镜取石术患者,将其按照随机数字表法分为观察组和对照组两组,每组各41例,对照组给予常规护理,观察组在对照组的护理基础上,予以相应的综合性护理干预,且对两组患者机体功能恢复时间、心理生理变化以及并发症等进行对比。结果:观察组下床活动、尿管拔除、肾造瘘管拔除及平均住院时间均明显短于对照组(P<0.05);观察组负性心理缓解率高于对照组,血压升高和心率加快发生率低于对照组,术后并发症发生率低于对照组(P<0.05)。结论:护理干预在经皮肾镜取石术中应用效果满意,值得推广。
Objective: To observe and analyze the effect of nursing intervention on percutaneous nephrolithotomy for upper urinary tract calculi. Methods: 82 cases of upper urinary tract calculi underwent percutaneous nephrolithotomy were divided into observation group and control group according to random number table method, 41 cases in each group. The control group was given routine nursing. The observation group was compared with the control group On the basis of group nursing, corresponding comprehensive nursing intervention was given, and the function recovery time, psychological and physiological changes and complication of the two groups were compared. Results: The observation group had significantly lower negative psychological remission rate, higher blood pressure and faster heart rate than those in the control group (P <0.05). The observation group had significantly lower rates of getting out of bed, catheter extubation, renal fistula removal and mean length of stay. The incidence was lower than that of the control group, and the incidence of postoperative complications was lower than that of the control group (P <0.05). Conclusion: Nursing intervention in the percutaneous nephrolithotomy with satisfactory results, it is worth promoting.