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Effect of Enhanced Recovery after Surgery (ERAS) Interventions on the Prognosis of Patients with Middle and Upper Ureteral Calculi Complicated by Hydronephrosis after Flexible Ureteroscopic Lithotomy

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DOI: 10.23977/phpm.2025.050102 | Downloads: 12 | Views: 465

Author(s)

Shen Dan 1

Affiliation(s)

1 The Affiliated Hospital of Hebei University, Baoding, Hebei, China

Corresponding Author

Shen Dan

ABSTRACT

The objective is to investigate the effect of enhanced recovery after surgery (ERAS) intervention on the prognosis of patients with middle and upper ureteral calculi and hydronephrosis after flexible ureteroscopic lithotomy, thereby providing scientific references for optimizing the recovery strategies of patients. 70 patients with middle and upper ureteral calculi complicated by hydronephrosis from January 2024 to January 2025 were selected as the study subjects for flexible ureteroscopic lithotomy,who were divided into a control group (n=35) and a study group (n=35) using a random number table.Specifically, the control group received routine nursing and the study group was provided with ERAS interventions in addition to routine nursing, followed by a comparison of the operation time, intraoperative blood loss, duration of postoperative urinary catheterization, hospital stay, incidence of complications, and quality of life scores between the 2 groups, so as to evaluate the effect of ERAS interventions. No significant differences in operation time and intraoperative blood loss were observed between the study and control groups (P >0.05). However, the duration of postoperative urinary catheterization and hospital stay were significantly shorter in the study group than in the control group (P < 0.05), with the study group showing a substantially lower incidence of complications than the control group (P<0.05). Additionally, the postoperative quality of life scores were remarkably higher in the study group than in the control group (P<0.05). ERAS interventions can significantly promote the recovery process, shorten the postoperative recovery time, reduce the incidence of complications, and improve the quality of life for patients with middle and upper ureteral calculi complicated by hydronephrosis after flexible ureteroscopic lithotomy.

KEYWORDS

Enhanced Recovery After Surgery (ERAS) Interventions, Middle and Upper Ureteral Calculi, Hydronephrosis, Flexible Ureteroscopic Lithotomy, Prognosis

CITE THIS PAPER

Shen Dan, Effect of Enhanced Recovery after Surgery (ERAS) Interventions on the Prognosis of Patients with Middle and Upper Ureteral Calculi Complicated by Hydronephrosis after Flexible Ureteroscopic Lithotomy. MEDS Public Health and Preventive Medicine (2025) Vol. 5: 5-8. DOI: http://dx.doi.org/10.23977/phpm.2025.050102.

REFERENCES

[1] Yali Zhang, Ling Liu, Li Li. Perfusion Related Problems and Nursing Progress during Flexible Ureteroscopic Lithotripsy [J]. Chinese Journal of Clinical Research, 2024, 37 (06): 965-967 + 971.
[2] Yinbao Zheng. Effect of Targeted Nursing Cooperation in Operating Rooms in Flexible Ureteroscopic Lithotomy for Unilateral Upper Ureteral Calculi [J]. Guide of China Medicine, 2024, 22 (15): 140-142.
[3] Shuangfeng Liu, Jie Yang. Application of Collaborative Nursing Combined with Integrated Medical Care Model in Holmium Laser Lithotomy under Flexible Ureteroscope [J]. Clinical Medicine & Engineering, 2023, 30 (04): 569-570.
[4] Hui XU. Effect of Meticulous Nursing in Multi-Channel Percutaneous Nephrolithotomy in Patients with Complex Renal Calculi [J]. The Medical Forum, 2023, 27 (06): 43-45. [5] Shaocui Xia, Jiacui Zhang, Ying Wang. Effect of ERAS Interventions on the Prognosis of Patients with Middle and Upper Ureteral Calculi Complicated by Hydronephrosis after Flexible Ureteroscopic Lithotomy [J]. Chinese Journal of the Frontiers of Medical Science (Electronic Edition), 2020, 12 (08): 108-112. 

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