CAJ | 학술논문

目的:探究针对性护理对肾结石患者术后康复及预防复发的效果.方法:选取2010年1月至2013年5月来我院就诊的需行经皮肾镜取石术(PNL)治疗的肾结石患者104例,依据分层随机分组法将患者分为2组,每组52例;给予治疗组针对性护理,对照组常规护理;比较两组患者术后康复与复发情况.结果:术后3天治疗组患者出现切口出血、切口感染、膀胱刺激征及尿培养阳性例数均低于对照组,治疗组患者术后出现肉眼血尿天数、镜下血尿天数、疼痛天数、体温、腹痛、腹胀、褥疮、双J管移位及1年后复发例数均低于对照组,差异有统计学意义(P<0.05).结论:针对性护理可明显改善患者术后不适症状,降低并发症的发生率及严重程度,还可有效防止肾结石的复发.
목적:탐구침대성호리대신결석환자술후강복급예방복발적효과.방법:선취2010년1월지2013년5월래아원취진적수행경피신경취석술(PNL)치료적신결석환자104례,의거분층수궤분조법장환자분위2조,매조52례;급여치료조침대성호리,대조조상규호리;비교량조환자술후강복여복발정황.결과:술후3천치료조환자출현절구출혈、절구감염、방광자격정급뇨배양양성례수균저우대조조,치료조환자술후출현육안혈뇨천수、경하혈뇨천수、동통천수、체온、복통、복창、욕창、쌍J관이위급1년후복발례수균저우대조조,차이유통계학의의(P<0.05).결론:침대성호리가명현개선환자술후불괄증상,강저병발증적발생솔급엄중정도,환가유효방지신결석적복발.
Objective: To explore the efficacy of targeted personalized care on postoperative rehabilitation and prevention in patients with kidney calculi. Methods: 104 cases of kidney calculi patients admitted in our hospital for percutaneous nephrolithotripsy (PNL) during January 2010 to May 2013 were divided into two groups using the stratified randomization method with 52 cases in each group. The patients of the treatment group were given personalized targeted care and the patients of the control group were given routine care. Postoperative recovery and recurrence in the two groups were observed and compared. Results: Incision bleeding, incision infection, bladder irritation, and urine test positive occurrence 3 days after operation in the treatment group were lower than that of the control group. Gross hematuria emergence, microscopic hematuria emergence, duration of pain, temperature, abdominal pain, bloating, pressure ulcers, and occurrence of double J tube shift, and recurrence after 1 year in the treatment group were lower than that of the control group. The differences were statisticaly significant (P<0.05). Conclusion: Targeted personalized care can not only significantly aleviate symptoms of patients, reduce the occurrence and severity of complications, but also prevent the recurrence of kidney calculi effectively.