Effect of minimally invasive percutaneous ureteroscopic holmium laser lithotripsyl (PCUL) in perioperative nursing and treatment of kidney stones of elderly patients

Abstract

Objective To investigate the Effect of minimally invasive percutaneous ureteroscopic holmium laser lithotripsyl (PCUL) in perioperative nursing and treatment of kidney stones of elderly patients. Methods A total of 96 elderly patients with nephrolith were divided into the control group (n=50) and the experimental group (n=46). Patients in the experimental group were treated with PCUL and perioperative nursing, while patients in the control group were treated with PCNL and routine nursing. Related index in clinical treatment was observed and compared in two groups. Postoperative pains and anxieties were evaluated by visual analogue scale (VAS), verbal rating scale (VRS) and self-rating anxiety scale (SAS), and the surgical complications were recorded. Results Compared with the control group, the blood loss, operative time, hospitalization time, duration of hematuria of patients in the observation group were all significantly lower (P<0.05). Before the operation, there was no significant difference in serum creatinine level between two groups; 3 and 6 months after operation, the serum creatinine level of patients in the experimental group was significantly lower than that in the control group (P<0.01). The VAS score and SAS score in the observation group after operation were lower than that in the control group (P<0.01). The ratio of patients without pain or mild pain in the observation group was higher than that in the control group; the ratio of patients with moderate or severe pain or torturing was lower than that in the control group (P<0.05). In addition, the complication rate of experimental group was 26.09%, which was significantly lower than that of control group with a complication rate of 46.00% (P<0.05). Stone clearance rate in the observation group was 93.48% (43/46); the incidence rate of complications was 26.09% (12/46), and they were all lower than that in the control group (78.00%, 46.00%) (P<0.05). Conclusions The combination of PCUL and perioperative nursing had an exact clinical effect in the therapy of elderly patients with nephrolith, which could significantly improve renal function, release the anxiety condition, shorter operative time, decrease the trauma and postoperative complications with a higher safety. In a word, the use of PCUL in the therapy of elderly patients with nephrolith is worthy of clinical application. Key words: Kidney stone; Elderly patients; Percutaneous ureteroscopic holmium laser lithotripsyl; Percutaneous nephrolithotomy; Nephrolith clearance; Complications