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目的:探讨体外冲击波碎石术治疗泌尿系结石直径≥1cm的护理体会。方法:对162例泌尿系结石患者采用体外冲击波碎石(ESWL)治疗,并配合中西医结合治疗,在护理上,术前做好术前准备和心理护理;术中护理注意观察患者的全身情况;术后护理上指导患者做好运动、饮食护理、体位护理及病情观察。结果:162例患者中,一次性治愈128例,占79.01%,2次或2次以上者28例,占17.28%,术后1个月内复查排净者156例,总治愈率为96.27%。经3次体外冲击波碎石治疗结石未排尽者6例,占3.73%。结论:泌尿系结石直径≥1cm者采用体外冲击波碎石后服用中药排石汤,加上有效的综合整体护理,可以有效地提高患者的排石率,减少患者的痛苦,方法简单,疗效可靠。
Objective: To explore the nursing experience of extracorporeal shock wave lithotripsy for the treatment of urinary calculi with a diameter of ≥1 cm. Methods: 162 patients with urolithiasis were treated with extracorporeal shock wave lithotripsy (ESWL) and with the combination of traditional Chinese and western medicine in preoperative care and preoperative preparation and psychological care; intraoperative care to observe the patient’s general condition ; Postoperative care to guide patients to exercise, diet, body position and nursing care. Results: Of the 162 patients, 128 cases were cured at a time, accounting for 79.01%. 28 cases were more than 2 times or more, accounting for 17.28%. 156 cases were reviewed within one month after operation. The total cure rate was 96.27% . After 3 extracorporeal shock wave lithotripsy stones were not discharged in 6 cases, accounting for 3.73%. Conclusion: Urinary calculi with a diameter of more than 1 cm were treated with extracorporeal shock wave lithotripsy, followed by traditional Chinese medicine Paishi Decoction, combined with effective integrated holistic nursing, which can effectively improve the rate of patients discharging the stone and reduce the patient’s pain. The method is simple and the curative effect is reliable.