Perioperative nursing of patients with hypertension complicated by soft ureteroscope lithotripsy
经输尿管软镜碎石并高血压患者围手术期护理

摘要

目的 总结与探究输尿管结石合并高血压病人经输尿管软镜钬激光碎石术的围术期护理要点。方法 于2021年的1月至12月选择68例因输尿管结石合并高血压前来我院就诊的病人进行调研，参与本次调研病人均接受经输尿管软镜钬激光碎石术治疗，在治疗围手术期搭配护理干预，总结与探究围术期护理要点。同时以回顾性分析方式总结病人护理结果。结果 以回顾性分析方式，总结与探究68例参与调研的病人治疗情况，经统计病人I期手术成功例数为62例，成功率为91.18%；Ⅱ期手术例数为6例，成功率为8.82%。手术结束后5例病人发生发热情况，其中体温高于39度者为3例、高于38度者2例，发热构成比为7.35%。术后并发症发生例数为1例，发生率为1.47%。参与本次调研病人住院时间为1天至12天。结论 68例病人手术均顺利完成，术后未出现严重并发症。在围术期给予正确、有效、细致的护理干预措施，可帮助病人安全且顺利度过围术期，减少术后并发症，缩短住院时间，在某种情况下改善病人经济压力。

Abstract

Objective To summarize and explore the perioperative nursing points of ureteroscopic holmium laser lithotripsy for patients with ureteral calculi complicated with hypertension.
Methods From January to Decem- ber 2021, 68 patients with ureteral calculi complicated with hypertension who came to our hospital were selected for investigation. All the patients who participated in this investigation were treated with soft ureteroscopic holmium laser lithotripsy. During the perioperative period of treatment, nursing intervention was combined to sum- marize and explore the key points of perioperative nursing. At the same time, patient care outcomes were sum- marized retrospectively.
Results Retrospective analysis was conducted to summarize and explore the treatment of 68 patients who participated in the investigation. According to the statistics, 62 patients were successfully operated in stage I, with a success rate of 91.18%. There were 6 cases of stage ⅱ operation, and the success rate was 8.82%. After the operation, 5 patients developed fever, including 3 cases with body temperature higher than 39 degrees and 2 cases with body temperature higher than 38 degrees, with a fever component ratio of 7.35%. Postoperative complications occurred in 1 case, the incidence rate was 1.47%. The duration of hospitalization of the patients in the study ranged from 1 day to 12 days.
Conclusion   68 patients were successfully operated without serious compli- cations. Correct, effective and meticulous nursing interventions in the perioperative period can help patients safely and smoothly through the perioperative period, reduce postoperative complications, shorten the length of hospital stay, and in some cases improve the patient's economic pressure.