经皮肾镜取石术治疗小儿复杂性肾结石的护理

目的探讨微创经皮肾镜取石术治疗小儿复杂性肾结石并发症的护理。方法将2008年2月至2011年4月29例行微创经皮肾镜取石术治疗小儿复杂性肾结石患儿为观察组，2005年2月至2008年1月30例行传统开放性手术治疗小儿复杂性肾结石患儿为对照组。比较两组在术后住院天数、住院费用及术后感染等并发症发生率方面的差异。结果观察组患儿住院时间为（12．80±2．60）d，对照组为（18．25±3．34）d，组间比较差异有统计学意义（t=10．32，P〈0．05）。观察组患儿住院费用为（13924．9±340．3）元，对照组为（15510．4±509．3）元；组间比较差异有统计学意义（t=13．20，P〈0．05）。观察组术后并发症发生率为10．3％，对照组为40．0％，组间比较差异有统计学意义（x^2=6．60，P〈0．05）。结论微创经皮肾镜取石术治疗小儿复杂性肾结石比传统开放手术具有优越性，严密的病情观察、精心细致的护理、多记录、多沟通，缩短了患儿住院天数，减少了住院费用，降低了术后感染并发症发生率，有助于促进患儿康复，提高护理质量。

Minimally invasive percutaneous nephrolithotomy lithotripsy treatment of children with complex renal complications of care

Objective To explore the nursing care for complications of children with complex renal calculus who receive minimally invnsive percutaneous nephrolithotomy lithotripsy treatment.Methods Children who received routine minimally invasive percutaneous nephrolithotomy hthotripsy treatment for complex renal calculus from February 2008 to April 29,2011 and 30 cases who received conventional open surgery from February 2005 to 2008 were divided into the observation group and the control group,respectively.Postoperative hospital stay,hospital costs and the incidence of postoperative complications were compared between the two groups.Results Hospital stay in observation group was(12.80 ± 2.60)d,and(18.25 ± 3.34)d in control group; there was statistically significant difference between the two groups(t =10.32,P ＜ 0.05).Hospital costs in observation group was(13 924.9 ± 340.3)yuan,and(15 510.4 ± 509.3)yuan in control group,the difference was obvious(t =13.20,P ＜ 0.05)between the two groups.the incidence of postoperative complications was 10.3％ and 40.0％ in observation group and in control group,respectively,there was significant difference(x2 =6.60,P ＜ 0.05).Conclusions Minimally invasive percutaneous nephrolithotomy was better than traditional open surgery in terms of dealing with children with complex stone stones,close observation,careful and meticulous care and more records,more communication can help reduce the number of hospital stay,hospital costs and the incidence of postoperative infectious complications,etc.It is good for the rehabilitation of patients and improvement of the quality of care.