中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
14期
1015-1018
,共4页
输尿管%护理%集束化治疗%三三法则%残余结石
輸尿管%護理%集束化治療%三三法則%殘餘結石
수뇨관%호리%집속화치료%삼삼법칙%잔여결석
Ureter%Nursing care%Bundles of cure%Rule of three three%Residual stones
目的 观察集束化治疗方案“三三法则”在输尿管软镜碎石术后促进残余结石排出的效果.方法 选取泌尿系单一结石并行输尿管软镜碎石术后患者120例,按前后对照的方法分为2组.对照组60例,其中2例因严重血尿退出,最后实际入组58例,采用常规指导(饮水3 000 ml/d,适量运动);实验组60例,采用“三三法则”指导(每日早、中、晚3个时间段各饮水3杯,300 ml/杯,饮水后30 min健侧卧位30 min,同时热敷并轻叩患肾区30 min).记录2组治疗前后情况.结果 术后14 d拍摄泌尿系平片示:实验组结石排出率和排净率[86.67％(52/60)和55.00％(33/60)]高于对照组[53.45％(31/58)和18.97％(11/58)],差异有统计学意义,P＜0.01;进一步分析显示,实验组肾下盏结石排出率[86.67％(26/30)]高于对照组[32.14％(9/28)],差异有统计学意义,P＜0.01.结论 “三三法则”能促进输尿管软镜碎石术后患者有效排石,并显著提高肾下盏残余结石排出率.
目的 觀察集束化治療方案“三三法則”在輸尿管軟鏡碎石術後促進殘餘結石排齣的效果.方法 選取泌尿繫單一結石併行輸尿管軟鏡碎石術後患者120例,按前後對照的方法分為2組.對照組60例,其中2例因嚴重血尿退齣,最後實際入組58例,採用常規指導(飲水3 000 ml/d,適量運動);實驗組60例,採用“三三法則”指導(每日早、中、晚3箇時間段各飲水3杯,300 ml/杯,飲水後30 min健側臥位30 min,同時熱敷併輕叩患腎區30 min).記錄2組治療前後情況.結果 術後14 d拍攝泌尿繫平片示:實驗組結石排齣率和排淨率[86.67％(52/60)和55.00％(33/60)]高于對照組[53.45％(31/58)和18.97％(11/58)],差異有統計學意義,P＜0.01;進一步分析顯示,實驗組腎下盞結石排齣率[86.67％(26/30)]高于對照組[32.14％(9/28)],差異有統計學意義,P＜0.01.結論 “三三法則”能促進輸尿管軟鏡碎石術後患者有效排石,併顯著提高腎下盞殘餘結石排齣率.
목적 관찰집속화치료방안“삼삼법칙”재수뇨관연경쇄석술후촉진잔여결석배출적효과.방법 선취비뇨계단일결석병행수뇨관연경쇄석술후환자120례,안전후대조적방법분위2조.대조조60례,기중2례인엄중혈뇨퇴출,최후실제입조58례,채용상규지도(음수3 000 ml/d,괄량운동);실험조60례,채용“삼삼법칙”지도(매일조、중、만3개시간단각음수3배,300 ml/배,음수후30 min건측와위30 min,동시열부병경고환신구30 min).기록2조치료전후정황.결과 술후14 d박섭비뇨계평편시:실험조결석배출솔화배정솔[86.67％(52/60)화55.00％(33/60)]고우대조조[53.45％(31/58)화18.97％(11/58)],차이유통계학의의,P＜0.01;진일보분석현시,실험조신하잔결석배출솔[86.67％(26/30)]고우대조조[32.14％(9/28)],차이유통계학의의,P＜0.01.결론 “삼삼법칙”능촉진수뇨관연경쇄석술후환자유효배석,병현저제고신하잔잔여결석배출솔.
Objective To observe and assess the effect about bundles of cure "Rule of three three" in the treatment for residual stones after Flexible Ureteroscope.Methods 120 patients with a single stone after urinary lithotripsy were divided into two groups according to the different indwelling time.Two cases of the control group were rejected because of severe hematuria.The control group (n=58) was subjected to the regular education (drinking water 3 000 ml per day with moderate exercise);The experiment group (n=60) was subjected to the "Rule of three three" (drinking 3 cups of water in thc morning、midday and night,with contralateral position 30 minutes,hot towel applying and gently tapping the kidney region 30 minutes).Results The calculi discharge rate and the net rate of experiment group [86.67％ (52/60),55.00％ (33/60)] were higher than the control group [53.45％(32/58),18.97％(11/58)] 14 days after surgery.The difference was statistically significant (P ＜ 0.01).Further analysis showed that the discharge rate of residual stones in lower renal calyx in experiment group [86.67％(26/30)] was higher than the control group [32.14％(9/28)].The difference was statistically significant (P ＜ 0.01).Conclusions The bundles of cure called "rule of three three" can improve the discharge rate of residual calculi after flexible ureteroscope and increase the discharge rate of residual stones in lower renal calyx significantly.
