护理干预对经皮肾镜钬激光碎石术后引流管相关并发症的预防价值

褚蔚琳（湖北省中山医院 武汉 430033）

护理干预对经皮肾镜钬激光碎石术后引流管相关并发症的预防价值

褚蔚琳
（湖北省中山医院 武汉 430033）

摘 要目的：探讨护理干预在肾结石经皮肾镜钬激光碎石术后引流管相关并发症的预防价值。方法：选择2010年10月-2013年10月收治的经皮肾镜钬激光碎石术患者116例，分为观察组和对照组各58例。对照组给予引流管常规护理，观察组给予引流管预见性护理。结果：观察组术后住院7~10 d的比例明显高于对照组，而住院13~15 d的比例明显低于对照组（P＜0.05）。观察组引流管并发症发生率为1.72%，对照组为10.34%（P＜0.05）。结论：肾结石经皮肾镜钬激光碎石术后给予预见性护理干预，可减少引流管相关并发症的发生。

关键词肾结石 护理干预 经皮肾镜钬激光碎石术 引流管并发症

Preventive value of the nursing intervention on the complication of the tube insertion in the patients with minimally invasive percutaneous nephroscopic in the treatment of renal calculi

CHU Weilin
(Hubei Province Zhongshan Hospital, Wuhan Hubei 430033, China)

ABSTRACTObjective: To investigate the preventive value of the nursing intervention on the complication related to the tube insertion after the minimally invasive percutaneous nephrolithotomy (MPCNL) in the treatment of renal calculi. Methods: One hundred and sixteen cases with MPCNL in the treatment of renal calculi were selected from Oct. 2010 to Oct. 2013 and divided into an observation group and a control group with 58 cases each. The control group was given with drainage tube routine nursing and the observation group with the preventive nursing intervention on the complication about the tube insertion. Results: The proportion of the postoperative hospitalization (7~10 d) was obviously higher in the observation group than in the control one, however the proportion (13~15 d) was significantly lower in the observation group than in the control one. The incidence of the complication about the tube insertion was 1.72% in the observation group, and 10.34% in the control one (P＜0.05). Conclusion: The preventive nursing intervention on the complication about the tube insertion of the patients with MPCNL can reduce the occurrence related to the tube insertion.

KEY WORDSrenal calculi; nursing intervention; MPCNL; complication of the tube insertion

微创经皮肾镜钬激光碎石术后多放置引流管，引流管是人为建立的体内外通道，如护理不当，外界细菌可进入体内[1]，而采取有效的护理，可以降低并发症的发生。我院对经皮肾镜钬激光碎石术患者进行引流管相关并发症护理，效果满意。

1 资料与方法

1.1 一般资料

收集2010年10月-2013年10月我院收治的经皮肾镜钬激光碎石术患者116例，分为观察组和对照组各58例。观察组男性26例，女性32例，年龄29~65岁，平均（45.27±2.57）岁，左肾结石16例，右肾结石14例，双侧结石19例，输尿管上段结石9例。对照组男性25

例，女性33例，年龄27~65岁，平均（45.86±2.47）岁，左肾结石15例，右肾结石16例，双侧结石17例，输尿管上段结石10例。两组患者性别、年龄等差异无统计学意义（P＞0.05）。

1.2 方法