首页|基于医护合作的快速康复外科护理在输尿管镜钬激光碎石术患者中的应用研究

基于医护合作的快速康复外科护理在输尿管镜钬激光碎石术患者中的应用研究

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目的 探究基于医护合作的快速康复外科护理在输尿管镜钬激光碎石术患者中的应用效果.方法 选择2021 年 5 月—2023 年5 月我院收治的 82 例输尿管结石患者为研究对象,按随机数字表法将其分为对照组和观察组,各41例.对照组采用常规护理,观察组实施基于医护合作的快速康复外科护理,两组均观察至术后 1 周.比较两组的术后恢复情况、应激指标、并发症发生情况.结果 观察组术后首次进食时间、下床活动时间、导尿管拔除时间及住院时间均较对照组短,术后 24h疼痛视觉模拟评分法评分较对照组低,并发症发生率较对照组低,组间差异有统计学意义(P<0.05).术前,两组丙二醛(MDA)、皮质醇(Cor)、舒张压及收缩压比较,组间差异无统计学意义(P>0.05);术后24 h,观察组MDA、Cor、舒张压及收缩压水平均较对照组低,组间差异有统计学意义(P<0.05).结论 基于医护合作的快速康复外科护理能够减轻输尿管镜钬激光碎石术患者的应激反应,减少并发症的发生,加快术后恢复.
Research on the Application of Rapid Rehabilitation Surgical Nursing Based on Medical Nursing Cooperation in Patients Undergoing Ureteroscopic Holmium Laser Lithotripsy
Objective To explore the application effect of rapid rehabilitation surgical nursing based on medical nursing cooperation in patients undergoing ureteroscopic holmium laser lithotripsy.Methods Eighty-two patients with ureteral stones admitted to our hospital from May 2021 to May 2023 were selected as the research objects and randomly divided into a control group and an observation group,each with 41 cases,using a random number table method.The control group received routine nursing,while the observation group received rapid rehabilitation surgical nursing based on medical nursing cooperation,both groups were observed until one week after surgery.Compare the postoperative recovery,stress indicators,and complications between two groups.Results The observation group had shorter postoperative first meal,ambulation,catheter removal,and hospital stay compared to the control group,and the pain Visual Analogue Scale score at 24 hours after surgery was lower than that of the control group,and the incidence of complications was lower than that of the control group,with statistical significance(P<0.05).Before surgery,there was no statistically significant difference between the two groups in terms of malondialdehyde(MDA),cortisol(Cor),diastolic blood pressure,and systolic blood pressure(P>0.05);24 hours after surgery,the levels of MDA,Cor,diastolic blood pressure,and systolic blood pressure in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Rapid rehabilitation surgical nursing based on medical nursing cooperation can alleviate stress reactions in patients undergoing ureteroscopic holmium laser lithotripsy,reduce the occurrence of complications,and accelerate postoperative recovery.

Uretral stoneUreteroscopic holmium laser lithotripsyMedical nursing cooperationRapid rehabilitation surgical nursingStress indicatorsComplications

王廷珍

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兴仁市人民医院外科,贵州兴仁 562300

输尿管结石 输尿管镜钬激光碎石术 医护合作 快速康复外科护理 应激指标 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(8)
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