微创经皮肾镜取石术后发热原因分析及护理干预措施

摘要

目的:探讨微创经皮肾镜取石术后发热原因及护理干预措施.方法:收治上尿路结石患者50例,对其临床资料进行统计分析.结果:和术前无尿路感染、 肾积水、结石表面积≤6 cm2、术中出血量≤500 mL、手术时间≤2 h、灌注液量≤30 L的患者相比,术前有尿路感染、肾积水、结石表面积>6 cm2、术中出血量>500 mL、手术时间>2 h、灌注液量>30 L的患者术后发热发生率均明显较高(P<0.05).结论:临床应对微创经皮肾镜取石术后发热原因进行深入分析,给予这些原因以充分重视,然后给予患者有针对性的护理,从而将患者术后发热的发生率降到最低限度.%Objective:To investigate the causes and nursing intervention of fever after minimally invasive percutaneous nephrolithotomy.Methods:50 patients with upper urinary tract calculus were selected,and the clinical data were statistical analysisd.Results:The postoperative fever incidence of preoperative patients with urinary tract infection,hydronephrosis,stone surface area>6 cm2,intraoperative blood loss>500 mL,operation time>2 h,perfusion fluid volume>30 L was significantly higher compared with preoperative patients with no urinary tract infection,hydronephrosis,stone surface area≤6 cm2, intraoperative blood loss≤500 mL,operation time≤2 h,perfusion fluid volume≤30 L(P<0.05).Conclusion:We should give in-depth analysis of causes of fever after minimally invasive percutaneous nephrolithotomy in clinical work,give full attention to these reasons,then the patients were given targeted nursing,which will reduce the incidence of postoperative fever to a minimum.