早干预对感染性微创经皮肾镜取石术麻醉后复苏的影响  

EFFECT OF EARLY INTERVENTION ON ANESTHESIA RECOVERY OF MINIMALLY INVASIVE PERCUTANIOUS NEPHROLITHOTOMY SURGERY WITH INFECTION

作　　者：夏武香[1] 冯建伟[1] 刘金龙[1] 周树保[1] 

机构地区：[1]赣南医学院第一附属医院,江西赣州341000

出　　处：《现代医院》2015年第4期33-34,共2页Modern Hospitals

摘　　要：目的探讨早干预对感染性微创经皮肾镜取石术麻醉后复苏的影响。方法回顾性分析感染性上尿路结石行微创经皮肾镜取石术术后1 h乃未完全清醒患者40例,将这40例患者分为观察组(早期干预组,干预时间为术后1 h)和对照组(晚期干预组,干预时间为诊断为脓毒症或脓毒性休克时),对两组患者的脓毒症例数、休克例数、住院天数、后遗症数、死亡数等指标进行观察和统计。结果观察组脓毒症例数、休克例数、住院天数等指标明显低于对照组患者相关指标(p<0.05)。结论早干预基本能避免感染性微创经皮肾镜取石术患者发展成脓毒症或脓毒性休克,明显改善预后、缩短住院时间,具有极大的临床价值和社会效益。Objective To explore the effect of early intervention on anesthesia recovery of minimally invasive percutanious nephrolithotomy surgery with infecton. Methods Retrospective analysis of infection of upper urinary tract calculi underwent minimally invasive percutaneous nephrolithotomy after 1 h is not completely clear in 40 cases.These 40 cases were divided into observation group（ intervention group,intervention time for operation control group（ 1H） and late intervention group,intervention time for the diagnosis of sepsis sepsis or septic shock）. The two groups of patients with septic shock patients,the number of cases,the number of days of hospitalization,the number of deaths sequelae,and other indicators were observed. Results The observed number in the observer group is significantly lower than the control group（ p〈0. 05）. Conclusion Early intervention nearly can prevent the development of infectious basic minimally invasive percutaneous nephrolithotomy surgery patients with sepsis or septic shock,which can significantly improve the prognosis,shorten hospital stay,have great clinical value and social benefits.

关 键 词：早干预 感染性 微创经皮肾镜取石术 麻醉 复苏 

分 类 号：R693.4[医药卫生—泌尿科学]