国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2012年
11期
2009-2011
,共3页
斜卧截石位%经皮肾镜取石术%输尿管上段结石%舒适度
斜臥截石位%經皮腎鏡取石術%輸尿管上段結石%舒適度
사와절석위%경피신경취석술%수뇨관상단결석%서괄도
Supine lithotomy position%Percutaneous nephrolithotomy%Ureteral calculi%Comfort
目的 探讨斜卧截石位在经皮肾镜取石术中的应用效果.方法 将我院230例经输尿管上段结石患者按术中体位的不同分为观察组120例和对照组110例,对照组采用俯卧位,观察组采用斜卧截石位,比较两组患者的舒适度及碎石效果.结果 观察组体位安置后的心率、血压的变化显著小于对照组(P＜0.05)；观察组中胸闷、呼吸困难的发生率、手术时间、术后疼痛评分显著少于对照组(P＜0.05)；两组碎石成功率无显著性差异(P＞0.05).结论 斜卧截石位可减少输尿管上段结石患者术中不适反应,提高舒适度和工作效率.
目的 探討斜臥截石位在經皮腎鏡取石術中的應用效果.方法 將我院230例經輸尿管上段結石患者按術中體位的不同分為觀察組120例和對照組110例,對照組採用俯臥位,觀察組採用斜臥截石位,比較兩組患者的舒適度及碎石效果.結果 觀察組體位安置後的心率、血壓的變化顯著小于對照組(P＜0.05)；觀察組中胸悶、呼吸睏難的髮生率、手術時間、術後疼痛評分顯著少于對照組(P＜0.05)；兩組碎石成功率無顯著性差異(P＞0.05).結論 斜臥截石位可減少輸尿管上段結石患者術中不適反應,提高舒適度和工作效率.
목적 탐토사와절석위재경피신경취석술중적응용효과.방법 장아원230례경수뇨관상단결석환자안술중체위적불동분위관찰조120례화대조조110례,대조조채용부와위,관찰조채용사와절석위,비교량조환자적서괄도급쇄석효과.결과 관찰조체위안치후적심솔、혈압적변화현저소우대조조(P＜0.05)；관찰조중흉민、호흡곤난적발생솔、수술시간、술후동통평분현저소우대조조(P＜0.05)；량조쇄석성공솔무현저성차이(P＞0.05).결론 사와절석위가감소수뇨관상단결석환자술중불괄반응,제고서괄도화공작효솔.
Objective To investigate the application effects of recumbent lithotomy position in percutaneous nephrolithotomy.Methods A total of 230 patients with upper ureteral calculi in our hospital were divided into observation group (120 cases) and control group (110 cases).The control group was given the prone position,the observation group was treated with supine lithotomy position,two groups were compared with comfort and the gravel effects.Results The changes of heart rate,blood pressure in the observation group were significantly smaller than thosc in the control group (P ＜ 0.05).the incidence rate of chest breathing difficulties,operation time,postoperative pain score in the observation group were significantly less than those in the control group (P ＜0.05).Success rate of lithotripsy between two group was no significant difference (P ＞ 0.05).Conclusions Supine lithotomy position can reduce discomfort in the upper ureteral calculi,improve patients'comfort and work efficiency.
