邓志梅

[摘要]目的 探讨综合围术期护理在小儿泌尿系统结石微创手术中的应用效果。方法 将2013年1月～2016年12月在我院接受治疗行小儿泌尿系统结石微创手术的60例患儿按照随机数字法分为两组，每组30例。对照组采用常规护理，研究组在对照组基础上给予综合围术期护理。比较两组患儿的治疗依从性、护理满意度、护理质量以及并发症发生率。结果 研究组患儿的治疗依从性效果显著优于对照组（P<0.05）。研究组的护理满意度（90.00%）显著高于对照组（53.33%）（P<0.05）。研究组的护理质量显著优于对照组（P<0.05）。研究组的并发症发生率（6.66%）显著低于对照组（23.33%）（P<0.05）。结论 综合围术期护理应用于小儿泌尿系统结石微创手术中可显著提高护理质量，提高患儿的治疗依从性及护理满意度，降低其并发症发生率，对患儿有积极的促进作用，值得临床推广应用。

[关键词]综合围术期护理；泌尿系统结石；微创手术；小儿

[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721（2017）08（a）-0191-03

[Abstract]Objective To explore the application effect of comprehensive perioperative nursing in minimally invasive surgery of urolithiasis in children.Methods 60 children given minimally invasive surgery of urolithiasis treated in our hospital from January 2013 to December 2016 were divided into 2 groups according to the random number method，and there were 30 cases in each group.Control group was given the routine nursing and study group was given comprehensive perioperative nursing on the basis of control group.The treatment compliance，nursing satisfaction degree，quality of nursing and the incidence of complications were compared between the two groups.Results The effect of treatment compliance of the patients in study group was significantly better than that in the control group （P<0.05）.The satisfaction degree of nursing in study group （90.00%） was significantly higher than that in the control group （53.33%） （P<0.05）.The quality of nursing in the study group was significantly better than that in the control group （P<0.05）.The incidence of complications in the study group （6.66%） was significantly lower than that in the control group （23.33%） （P<0.05）.Conclusion Comprehensive perioperative nursing applied in minimally invasive surgery of urolithiasis for children can significantly improve the quality of nursing，improve children′s treatment compliance and nursing satisfaction degree，reduce the incidence of complications in children，and it has a positive promotion role for children.It is worthy of clinical promotion and application.

[Key words]Comprehensive perioperative nursinge；Urolithiasis；Minimally invasive surgery；Children

泌尿系统结石是一种常见的泌尿外科疾病，其具有较高的复发率，严重者可造成患儿出现解质紊乱、尿毒症、肾衰竭等疾病，增加患儿负担，严重影响患儿的生活质量[1]。临床中泌尿系统结石治疗方式主要为手术方式。近年来，随着医疗技术的不断发展，微创手术逐渐应用于泌尿系统结石治疗中，其具有效果好、对患儿损伤小、术后患儿恢复速度快等優势[2]。但小儿患儿因为年龄小，身体功能尚未发育完全，在微创手术中容易出现手术风险[3]。有研究表明，有效的围术期护理可提高患儿治疗效率，降低其术后并发症发生率[4]。本研究探讨综合围术期护理在小儿泌尿系统结石微创手术中的应用效果，现报道如下。

1资料与方法

1.1一般资料

选取2013年1月～2016年12月在我院接受治疗的60例行小儿泌尿系统结石微创手术患儿作为研究对象，按照随机数字法平均分为研究组（30例）和对照组（30例）。……