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摘要：目的：分析临床护理路径在CT导引下穿刺置管硬化治疗巨大肾囊肿护理中的应用及对患者肾功能的影响。方法：选取我院肾内科收治的100例在CT导引下行穿刺置管硬化治疗巨大肾囊肿的患者为研究对象，将其根据随机抽取法平均分为观察组和对照组，每组各50例。对照组患者应用常规护理手段，观察组患者则在此基础上实施临床护理路径，对比观察两组患者在护理后的手术指标及对肾功能的影响。结果：①观察组患者的术后住院时间、住院费用以及术中出血量等指标均优于对照组（P<0.05）。②观察组患者的血肌酐、血尿素氮、胱抑素等指标优于对照组（P<0.05）。结论：临床护理路径在CT导引下穿刺置管硬化治疗巨大肾囊肿护理中的应用效果良好，能显著改善患者肾功能，值得大力推广应用。

关键词：临床护理路徑;CT导引下穿刺置管硬化治疗术;巨大肾囊肿;肾功能;血肌酐

中图分类号：R445.3;R737.11文献标识码：BDOI：10？郾3969/j.issn.1001-0270.2020.01.19

Abstract： Objective： To analyze the application of clinical nursing path in CT-guided puncture and catheterization sclerotherapy for giant renal cyst nursing and its effect on renal function of patients. Methods： 100 patients with giant renal cyst treated by CT-guided puncture and catheterization sclerotherapy in nephrology department of our hospital were selected as the objects of research. They were divided into two groups according to random sampling： observation group and control group， each group includes 50 patients. The patients in the control group were provided with routine nursing， while patients in the observation group were provided with clinical nursing path based on routine nursing. The operative indexes and effect on renal function of patients in the two groups after nursing were compared and observed. Results： ①The observation group was better than the control group in terms of hospitalization time， hospitalization expenses and intraoperative bleeding（P<0.05）. ②The observation group was better than the control group in terms of serum creatinine， urea nitrogen and cystatin（P<0.05）. Conclusion： The application of clinical nursing path in CT-guided puncture and catheterization sclerotherapy for giant renal cyst nursing is effective， which can significantly improve the renal function of patients， so it is worthy of vigorous promotion and application.

Key Words： Clinical Nursing Path; CT-guided Puncture and Catheterization Sclerotherapy; Giant Renal Cyst; Renal Function; Serum Creatinine

肾囊肿是肾内科的常见病、高发病之一，发病早期不会表现出明显的临床症状，随着病程的深入以及病情的加重，患者会受到囊肿的影响，出现不同程度肾结石、血压升高、感染等，对其生活质量及生命安全造成不利影响[1，2]。临床上对于巨大肾囊肿的治疗以手术为主，比较常应用的手术方法为CT导引下穿刺置管硬化治疗术，具有操作简便、可视化等优势。为促进患者预后，良好的护理方法必不可少，临床护理路径在其中发挥出巨大的作用。

1 资料与方法

1.1 一般资料

选取我院肾内科在2017年8月-2019年8月收治的100例在CT导引下行穿刺置管硬化治疗巨大肾囊肿的患者为研究对象，将其根据随机抽取法平均分为观察组和对照组，每组各50例。其中观察组中男28例，女22例。……