论文部分内容阅读
目的探讨输尿管软镜联合钬激光治疗肾结石患者的临床护理方法与效果。方法 80例行输尿管软镜联合钬激光治疗的肾结石患者,随机分为研究组和对照组,各40例。对照组采用常规护理,研究组采用综合护理干预。采用生活质量评价量表(SF-36)评价生活质量,对两组的手术时间、住院时间、健康教育知识掌握程度、生活质量水平、并发症情况进行综合比较。结果两组手术时间比较差异无统计学意义(P>0.05);研究组住院时间(5.63±0.37)d、健康教育知识掌握程度(22.06±1.36)分均优于对照组(7.47±0.71)d、(19.84±1.45)分,差异均具有统计学意义(P<0.05)。治疗前两组生活质量各维度评分比较差异均无统计学意义(P>0.05);随访6个月,研究组生活质量各维度评分均优于对照组,差异均具有统计学意义(P<0.05)。研究组术后并发症发生率为5.0%,低于对照组的25.0%,差异具有统计学意义(P<0.05)。两组并发症经积极对症处理后好转。结论输尿管软镜联合钬激光治疗肾结石效果确切,辅以围手术期综合护理干预,对症效果好,能有效促进患者术后康复,降低并发症发生率,提高生活质量,值得临床推广。
Objective To investigate the clinical nursing methods and effects of ureteroscopic combined with holmium laser in the treatment of patients with kidney stones. Methods Eighty patients with renal stones treated by ureteroscope combined with holmium laser were randomly divided into study group and control group, 40 cases in each. The control group received routine nursing, and the study group adopted comprehensive nursing intervention. The quality of life was evaluated by the quality of life evaluation scale (SF-36), and the operation time, hospitalization time, knowledge of health education, quality of life, and complications were compared. Results There was no significant difference in operative time between the two groups (P> 0.05). The length of hospital stay (5.63 ± 0.37) d and knowledge of health education (22.06 ± 1.36) were significantly higher in the study group than in the control group (7.47 ± 0.71) d , (19.84 ± 1.45) points, the differences were statistically significant (P <0.05). There was no significant difference in quality of life between the two groups before treatment (P> 0.05). After 6 months of follow-up, all dimensions of quality of life in the study group were better than those in the control group (P <0.05) ). The incidence of postoperative complications in the study group was 5.0%, which was lower than that in the control group (25.0%), the difference was statistically significant (P <0.05). Two groups of complications after positive symptomatic treatment improved. Conclusions The ureteroscopic combined with holmium laser treatment of renal calculus is exact, supplemented by perioperative comprehensive nursing intervention, the symptomatic effect is good, which can effectively promote postoperative recovery, reduce the incidence of complications and improve the quality of life, deserve clinical promotion.