2种灌注方式在经皮肾镜取石术后发热的观察  

Comparision of Two Perfusion Methods on Postoperative Fever for Percutaneous Nephrolithotomy

作　　者：吕晓敏[1] 刘爽[1] 刘佳佳[1] 尹萍[1] 

机构地区：[1]成都大学附属医院,四川成都610081

出　　处：《现代临床医学》2014年第1期63-64,66,共3页Journal of Modern Clinical Medicine

摘　　要：目的:比较2种不同灌注方式的经皮肾镜取石术后发热情况,探讨术后发热的原因及护理措施。方法:纳入142例经皮肾镜取石术患者,术中采用腔镜灌注泵灌注68例,采用自然重力灌注74例。对2组患者术后发热、灌注时间、灌注液量、高热发生率进行比较。结果:2组在术后发热、灌注时间、灌注液量有显著性差异(P<0.05),但2组高热发生率无显著性差异(P>0.05)。结论:保持术中的低压灌注以及术后维持低肾盂压力措施可有效降低经皮肾镜取石术的术后发热率。Objective： To compare the incidence of postoperative fever in two perfusion methods of pereutaneous nephrolithotomy（PCNL）. And to explore the factors of fever and nursing intervention. Methods： 142 patientsundergoing PCNL were divided into A group （Endoscopic injection pump） and B group （Gravity perfusion method）. The following factors were recorded：postoperative fever, time of perfusion, perfusion measure and the rate of hyperpyrexia. Results：There was a significant difference between the A group and the B group in postoperative fever, time of perfusion, perfusion measure （ P 〈 0.05 ）. There was no significantly diferenee between the two groups in the rate of hyperpyrexia （ P 〉 0.05 ）. Conclusion ： Keeping intraoperative and postoperative lower pelvis pressure can reduce the incidence of postoperative fever.

关 键 词：肾镜 腔道镜 灌注泵 结石 

分 类 号：R473.6[医药卫生—护理学]