中国医药
中國醫藥
중국의약
CHINA MEDICINE
2009年
7期
542-543
,共2页
输尿管结石%碎石术%围手术期%护理
輸尿管結石%碎石術%圍手術期%護理
수뇨관결석%쇄석술%위수술기%호리
Ureteric calculi%Lithotripsy%Perioperative Period%Nursing
目的 探讨围手术期护理对腔镜下激光碎石术患者的作用.方法 回顾性分析110例因输尿管结石需行腔镜下激光碎石术患者的围手术期护理过程.围手术期护理过程包括术前心理疏导,术后针对留置导尿管、双J管及手术并发症的护理以及出院指导.总结围手术期护理的效果.结果 110例患者中2例因结石上移入肾盂而改行体外震波碎石治疗,1例因输尿管扭曲伴息肉致腔镜不能向上插入而改开放手术,1例因结石坚硬未能全部击碎,3周后行二次激光碎石成功,其余106例患者均顺利康复.110例术后均出现轻重不等的肉眼血尿,大多于术后1～4 d血尿消失.所有患者均未发生输尿管穿孔、撕脱、脓肾等并发症.结论 正确的围手术期护理是患者顺利康复的重要因素之一,在临床护理工作中应给予足够的重视.
目的 探討圍手術期護理對腔鏡下激光碎石術患者的作用.方法 迴顧性分析110例因輸尿管結石需行腔鏡下激光碎石術患者的圍手術期護理過程.圍手術期護理過程包括術前心理疏導,術後針對留置導尿管、雙J管及手術併髮癥的護理以及齣院指導.總結圍手術期護理的效果.結果 110例患者中2例因結石上移入腎盂而改行體外震波碎石治療,1例因輸尿管扭麯伴息肉緻腔鏡不能嚮上插入而改開放手術,1例因結石堅硬未能全部擊碎,3週後行二次激光碎石成功,其餘106例患者均順利康複.110例術後均齣現輕重不等的肉眼血尿,大多于術後1～4 d血尿消失.所有患者均未髮生輸尿管穿孔、撕脫、膿腎等併髮癥.結論 正確的圍手術期護理是患者順利康複的重要因素之一,在臨床護理工作中應給予足夠的重視.
목적 탐토위수술기호리대강경하격광쇄석술환자적작용.방법 회고성분석110례인수뇨관결석수행강경하격광쇄석술환자적위수술기호리과정.위수술기호리과정포괄술전심리소도,술후침대류치도뇨관、쌍J관급수술병발증적호리이급출원지도.총결위수술기호리적효과.결과 110례환자중2례인결석상이입신우이개행체외진파쇄석치료,1례인수뇨관뉴곡반식육치강경불능향상삽입이개개방수술,1례인결석견경미능전부격쇄,3주후행이차격광쇄석성공,기여106례환자균순리강복.110례술후균출현경중불등적육안혈뇨,대다우술후1～4 d혈뇨소실.소유환자균미발생수뇨관천공、시탈、농신등병발증.결론 정학적위수술기호리시환자순리강복적중요인소지일,재림상호리공작중응급여족구적중시.
Objective To explore the role of the perioperative nursing in ND: YAG laser lithotripsy with ureteroscope. Methods One hundred and ten patients were enrolled. Psychotherapy was applied before operation. Nursing of catheter after operation and nursing of double J ureteral stent and complications after operation were also used,with medical guidance given after discharge. Results In 110 cases of patients,2 cases had extracorporeal shock wave lithotripsy due to stones on the line into the renal pelvis. 1 patient had an open surgery due to ureteral polyp and distortion to endoscopic insertion failure. 1 case failed as stones were too hard to crush. 106 cases recov-ered smoothly. Hhematuria disappeared in most patients in 1-4 days after operations. No complications such as ureteralperforation, avulsion, bleeding, septic kidney occured. Conclusion Psychotherapy before operation and proper perioperative nursing are important factors for patients'healing.
