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目的:探讨综合护理干预在经皮肾镜取石术治疗复杂性肾结石中的应用效果以及对并发症防治的临床有效性。方法:选取2014年5月-2015年3月本院收治的采用经皮肾镜取石术治疗复杂性肾结石患者74例。均分为护理组和对照组,各37例,采用不同护理方法对比各自临床情况。结果:护理组中发生腹腔积液2例,感染2例,出血性休克1例,并发症发生率13.5%;对照组中发生腹腔积液6例,感染52例,出血性休克3例,并发症发生率34.1%。对比发现护理组在并发症发生情况方面显著优于对照组,差异具有统计学意义(P<0.01)。结论:综合护理干预是一种有效降低经皮肾镜取石术治疗复杂性肾结石术后并发症发生的临床模式。
Objective: To investigate the effect of comprehensive nursing intervention in the treatment of complex renal calculi by percutaneous nephrolithotomy and its clinical efficacy in the prevention and treatment of complications. Methods: From May 2014 to March 2015, 74 patients with complex renal calculus underwent percutaneous nephrolithotomy were selected in this hospital. Divided into nursing group and control group, 37 cases each, using different nursing methods to compare their clinical situation. Results: In the nursing group, 2 cases of ascites, 2 cases of infection, and 1 case of hemorrhagic shock were found. The incidence of complications was 13.5%. In the control group, 6 cases of ascites, infection of 52 cases and hemorrhagic shock occurred in 3 cases The incidence of disease was 34.1%. The results showed that the nursing group was significantly better than the control group in the incidence of complications, the difference was statistically significant (P <0.01). Conclusion: The comprehensive nursing intervention is a clinical model that can effectively reduce the postoperative complications of percutaneous nephrolithotomy in complicated nephrolithiasis.