Dong Linyan, Li Junhong, Zhao Mixia, Ren Jing
Linyan Dong, Nurse-in-Charge. Department of Nephrology, Xingtai People's Hospital, Xingtai 054000, Hebei, China.
Junhong Li, Nurse-in-Charge. Department of Nephrology, Xingtai People's Hospital, Xingtai 054000, Hebei, China.
Pak J Med Sci. 2021;37(6):1564-1568. doi: 10.12669/pjms.37.6-WIT.4831.
This study was to explore the application value of B-ultrasound in guiding puncture biopsy of chronic kidney disease (CKD) and the clinical nursing effects under the guidance of B-ultrasound.
Pathological examination of kidney biopsy was performed on 94 patients with CKD under the guidance of ultrasound from August 2020 to December 2020.; patients were observed for symptoms such as low back pain, backache, hematuria, and subcapsular hematoma. Color Doppler ultrasonography was performed on the punctured patients on day 1, 2, and 3 to observe whether there was subrental hematoma. The pathological results were analyzed and the success rate of percutaneous renal biopsy under ultrasound guidance was analyzed. Before the patient was discharged, investigate the satisfaction with the nursing work.
(1) After the puncture, 45 patients developed low back pain and low back pain symptoms, 12 cases developed subcapsular hematoma; 8 cases showed gross hematuria, 62 cases showed microscopic hematuria, and the rest had no obvious symptoms; (2) the nursing satisfaction rate of 94 cases was as high as 95.7%.
US-PRB is a safe and effective auxiliary examination method, which can improve the success rate of puncture and reduce postoperative complications. Effective nursing can reduce the incidence of postoperative complications and improve patient satisfaction.
本研究旨在探讨B超在慢性肾脏病(CKD)穿刺活检中的应用价值以及B超引导下的临床护理效果。
2020年8月至2020年12月,对94例CKD患者在超声引导下进行肾活检病理检查;观察患者是否出现腰痛、腰酸、血尿及肾包膜下血肿等症状。对穿刺患者在第1、2、3天进行彩色多普勒超声检查,观察有无肾包膜下血肿。分析病理结果并分析超声引导下经皮肾活检的成功率。在患者出院前,调查其对护理工作的满意度。
(1)穿刺后,45例患者出现腰痛、腰酸症状,12例出现肾包膜下血肿;8例出现肉眼血尿,62例出现镜下血尿,其余无明显症状;(2)94例患者的护理满意度高达95.7%。
超声引导下经皮肾活检是一种安全有效的辅助检查方法,可提高穿刺成功率,减少术后并发症。有效的护理可降低术后并发症的发生率,提高患者满意度。