经皮肾镜钬激光碎石取石术中有效的手术室护理配合分析
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摘要
目的对经皮肾镜钬激光碎石取石术中有效的手术室护理配合效果进行分析。方法将2016年1月～2018年1月在我院实施经皮肾镜钬激光碎石取石术的85例患者作为本次研究对象,以随机分组的形式将其分为对照组与研究组,对照组41例患者实施常规护理模式,研究组44例患者实施手术室护理配合模式,对其护理效果进行分析。结果 (1)研究组患者一次碎石成功率93.2%比对照组患者一次碎石成功率73.2%高,差异有统计学意义(P <0.05);研究组患者不良反应发生率6.8%比对照组患者不良反应发生率24.4%低,差异有统计学意义(P <0.05)。(2)研究组患者手术时间低于对照组患者,差异有统计学意义(P <0.05);研究组患者术中体温高于对照组患者,差异有统计学意义(P <0.05)。结论有效的手术室护理配合模式在经皮肾镜钬激光碎石取石术中有着重要的应用价值,有效的缩短手术时间,保证治疗质量,同时保证患者的安全性,在临床中有着广泛的应用前景。
Objective To analyze the effect of nursing cooperation in operating room in percutaneous nephroscope holmium laser lithotripsy. Methods Eighty-five patients who underwent percutaneous nephroscope holmium laser lithotripsy in our hospital from January 2016 to January 2018 were selected as research objects.They were randomly divided into control group and study group.41 patients in control group were given routine nursing mode while 44 patients in study group were given nursing cooperation in operation room mode.The nursing effect was analyzed.Results(1)Successful rate of lithotripsy by first attempt in the study group was 93.2%,higher than that in the control group 73.2%.The difference was statistically significant(P < 0.05).The incidence of adverse reactions in the study group was 6.8%,lower than that in the control group 24.4%.The difference was statistically significant(P < 0.05).(2)The operative time of patients in the study group was lower than that in the control group,and the difference was statistically significant(P < 0.05).The intraoperative temperature of the study group was higher than that of the control group,and the difference was statistically significant(P < 0.05). Conclusion Effective nursing cooperation in operating room mode has important application value in percutaneous nephroscope holmium laser lithotripsy.It can effectively shorten the operation time,ensure the quality of treatment and ensure the safety of patients,which has a broad application prospect in clinical practice.
Objective To analyze the effect of nursing cooperation in operating room in percutaneous nephroscope holmium laser lithotripsy. Methods Eighty-five patients who underwent percutaneous nephroscope holmium laser lithotripsy in our hospital from January 2016 to January 2018 were selected as research objects.They were randomly divided into control group and study group.41 patients in control group were given routine nursing mode while 44 patients in study group were given nursing cooperation in operation room mode.The nursing effect was analyzed.Results(1)Successful rate of lithotripsy by first attempt in the study group was 93.2%,higher than that in the control group 73.2%.The difference was statistically significant(P < 0.05).The incidence of adverse reactions in the study group was 6.8%,lower than that in the control group 24.4%.The difference was statistically significant(P < 0.05).(2)The operative time of patients in the study group was lower than that in the control group,and the difference was statistically significant(P < 0.05).The intraoperative temperature of the study group was higher than that of the control group,and the difference was statistically significant(P < 0.05). Conclusion Effective nursing cooperation in operating room mode has important application value in percutaneous nephroscope holmium laser lithotripsy.It can effectively shorten the operation time,ensure the quality of treatment and ensure the safety of patients,which has a broad application prospect in clinical practice.
引文
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[11]王宣娜,肖雪青.快速康复外科理念对上尿路结石患者经皮肾镜碎石取石术后生活质量及护理满意度的影响[J].河南医学研究,2017,26(21):4019-4020.
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[13]刘伟,赵晓梅,陈屿,等.临床护理路径对经皮肾镜碎石术患者的临床价值分析[J].重庆医学,2018,47(8):1144-1146,1152.
[14]李小捷,赵海贤,余丽娜,等.经皮肾镜超声联合气压弹道碎石取石术后出血的护理体会[J].西南国防医药,2015,22(3):319-320.
[15]李友芳,张培,刘莹,等.微创经皮肾镜碎石取石术个性化舒适体位护理的应用[J].中国临床研究,2017,30(2):275-278.
[2]曹义静.47例微创经皮肾镜钬激光碎石取石术治疗肾结石的护理方法及效果[J].中西医结合心血管病电子杂志,2017,5(33):103,106.
[3]蔡云霞,邱红,张小英,等.智能控制肾盂内压输尿管软镜碎石吸引取石术的护理配合流程管理[J].微创医学,2017,12(5):714-715,718.
[4]王立波,王亚兰,汤春波,等.输尿管镜下钬激光联合封堵取石导管治疗输尿管中上段结石的护理配合[J].中国微创外科杂志,2015,15(9):862-864.
[5]孙红玲,李芳芳.超微经皮肾镜取石术治疗肾结石的手术护理配合[C].//第十三届亚洲泌尿外科学会年会(UAA2015)、第二十二届全国泌尿外科学术会议(CUA2015)、第十六届全军及武警泌尿外科年会论文集,2015,13(22):73.
[6]张佳群,唐文昌,曾宪荣,等.不同麻醉方法在经皮肾镜钬激光碎石手术的应用效果分析[J].中国医药科学,2017,7(3):119-121,161.
[7]高燕平,刘燕君,廖秀清,等.半截石斜仰卧位在经皮肾镜碎石取石术中的应用[J].海南医学,2015,10(15):2338-2340.
[8]陈特磊,陈伟,汤春波,等.一种碎石固定钳在经皮肾镜钬激光碎石术中的临床应用[J].中国现代医生,2018,56(13):40-43.
[9]冯玲燕.体位护理在经皮肾镜碎石取石术应用的研究[J].四川生理科学杂志,2016,38(2):91-93.
[10]赵孟会.手术室护理干预对经皮肾镜碎石取石术术后康复的影响探究[J].中外医疗,2015,11(16):155-156.
[11]王宣娜,肖雪青.快速康复外科理念对上尿路结石患者经皮肾镜碎石取石术后生活质量及护理满意度的影响[J].河南医学研究,2017,26(21):4019-4020.
[12]刘敏婕.手术室护理干预对经皮肾镜碎石取石术术后康复的影响[J].实用临床护理学电子杂志,2016,1(1):84-85.
[13]刘伟,赵晓梅,陈屿,等.临床护理路径对经皮肾镜碎石术患者的临床价值分析[J].重庆医学,2018,47(8):1144-1146,1152.
[14]李小捷,赵海贤,余丽娜,等.经皮肾镜超声联合气压弹道碎石取石术后出血的护理体会[J].西南国防医药,2015,22(3):319-320.
[15]李友芳,张培,刘莹,等.微创经皮肾镜碎石取石术个性化舒适体位护理的应用[J].中国临床研究,2017,30(2):275-278.