中图分类号：R473.6文献标识码：A

    DOI：10.3969/j.issn.1006-1959.2025.13.039 文章编号：1006-1959(2025)13-0189-04

    Abstract：ObjectiveTostudytheplicationofrefinednursinginmulti-tractpercutaneousneprolitotomyforcomplexrenalcalculi. MethodsFroJaary2toJuly62atintsitplexnaluliudergoingultiractprtaeosepoltotoisi CountyPeoplesHspialwereseleedsudysutsUsingdoumbeabletd，ttintsereuallidedtodo( 31)andcontrolgrou(n=31)esudygouasiveneidsigandtheotrolgopasgiveroutineursinghesifet (opati hemorhageateioeoulahils)usiisfactondalitifeopadosesulsdo demonstratedsignifcantlyshorteroperativetiearliertietofirstambultionandeducedospitalstaomparedwithteotrolgoup additionally，the studygroup exhibited lower intraoperativeblood loss( P lt;0.05).The total complication ratewas significantly lowerand nursing satisfaction rate was significantly higher in the study group versus the control group( P lt;0.05).The intervention group showed significantly higher scoresthanthotroloiallaiffoisseetiocudgicalctiycallll competence，and material living status( Plt;0.05 .Conclusion Theapplication of refined nursing in patients with complex renal calculi undergoing multi-chaelaeisiolpifcodifffs to avoid the occurrence of various complications ......