摘要
目的探讨经皮肾镜碎石术(percutaneous nephrolithotomy,PCNL)治疗肾结石合并糖尿病患者的围术期护理。方法 64例肾结石合并糖尿病行超声引导下PCNL,术后严密观察生命体征及并发症,分析围术期出现的护理问题及处理方法,评估护理效果。结果 61例Ⅰ期手术成功,2例血糖控制不稳定转内分泌科治疗,3例行Ⅱ期手术。术后发热16例,并发出血5例,经对症处理后患者均痊愈出院,无严重术后护理并发症。结论严格控制血糖、尿糖,加强围术期护理是减少术后并发症的关键。
Objective To discuss the nursing care for patients with Renal Calculus combined diabetes undergoing Percutaneous Nephrolithotomy （PCNL） in the perioperative period. Methods 64 patients with Renal Calculus combining diabetes undergoing PCLN guided by ultrasound guidance were strictly observed. The vital signs and complications in postopera- tive period were documented; the nursing problems ,treatment methods and nursing results in preoperative was analyzed and evaluated. Results Kidney stones were successfully removed in 61 patients with PCNL I. Two patients were transferred to en- docrine treatment unit due to the instable blood sugar level. 3 patients were treated with PCNL twice. 16 patients represented high fever and 5 patients experienced with recurrent bleeding. After the corresponding treatment and nursing care, all patients were discharged. No serious postoperative complications were reported. Conclusion The main point of decreasing the postoperative complications is to strictly control the blood sugar, to guide the reasonable diet, to grasp the surgical indications, and to strengthen the preoperative basic nursing care and special care.
出处
《解放军医药杂志》
CAS
2012年第6期64-66,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
关键词
肾结石
糖尿病
碎石术
围手术期护理
Kidney calculi
Diabetes mellitus
Lithotripsy
Perioperative nursing
