Application Experience of Heating Blanket Combined with Liquid Heating in Ureteroscopic Holmium Laser Lithotripsy
Objective:To investigate the application of heating blanket combined with liquid heating in ureteroscopic holmium laser lithotripsy. Methods:From November 2023 to April 2024,108 patients with upper urinary tract calculi treated by flexible ureteroscopic holmium laser lithotripsy in our hospital were selected. According to the order of admission,the patients were divided into two groups,the experimental group and the control group,including 54 patients in each group. In the operation process,the control group used conventional temperature flushing fluid and intravenous infusion;On this basis,the experimental group used heating blanket combined with liquid heating lavage liquid and liquid infused into the body to adjust the liquid temperature to 37℃. The fluctuations of blood pressure,heart rate and body temperature of two groups of patients undergoing surgery were analyzed before surgery (t1),30 minutes after surgery (t2),at the completion of surgery (t3) and 30 minutes after surgery (t4),and the shivering,irritable symptoms,blood loss,postoperative sedation level (RASS score) and quality of life questionnaire (SF-36 score) were investigated. Results:The comparison of t1,t2,t3 and t4 in blood pressure,heart rate and body temperature in the experimental group showed no statistically significant difference (P>0.05);In the control group,the body temperature at t2,t3 and t4 was lower than that at t1,while the blood pressure and heart rate were higher than that at t1 (P<0.05). The shivering,restless behavior,blood loss and RASS scores in the experimental group were significantly lower than those in the control group,and the SF-36 score was higher than that in the control group (P<0.05). Conclusion:In the process of flexible ureteroscopic holmium laser lithotripsy,the dual effects of heating blanket and liquid heating can maintain the stability of the patient's life indicators,reduce the shivering and anxiety of patients during the operation,which is very important for improving the patients' feelings during treatment.
万方数据
维普
