上尿道感染与经皮肾镜气压弹道碎石术中寒战的关系  

Relationship between upper urinary tract infection and intraoperative shivering in percutaneous nephroscopic pneumatic lithotripsy

作　　者：杨凤泉[1] 赵子良[1] 梁荣丰[1] 

机构地区：[1]广州医科大学附属第一医院麻醉科,广州510120

出　　处：《中华生物医学工程杂志》2015年第4期366-368,共3页Chinese Journal of Biomedical Engineering

摘　　要：目的：探讨上尿道感染与经皮肾镜气压弹道碎石术中寒战的关系。方法方法回顾性分析2010年1月至2013年12月间有中段尿细菌培养结果，在椎管内阻滞麻醉下行经皮肾镜气压弹道碎石术762例患者的临床资料，分析经皮肾镜气压弹道碎石术中寒战的发生率与上尿道感染、手术时间是否存在关系。结果上尿道感染患者行经皮肾镜气压弹道碎石术中寒战发生率明显高于无上尿道感染患者；手术时间大于2h的患者两组寒战发生率均明显升高，中段尿细菌培养阳性患者更为明显。结论上尿道感染是经皮肾镜气压弹道碎石术中患者发生寒战的主要原因，随着手术时间延长，寒战发生率明显升高。Objective To investigate the relationship between upper urinary tract infection and intraoperative shivering in percutaneous nephroscopic pneumatic lithotripsy. Methods The clinical data of 762 patients with midstream urine bacterial culture results who underwent percutaneous nephroscopic pneumatic lithotripsy under the spinal block anesthesia between January 2010 and December 2013 were retrospectively analyzed,to determine whether there were correlation between the incidence of intraoperative shivering in percutaneous nephroscopic pneumatic lithotripsy and upper urinary tract infection and operation time. Results The incidence of intraoperative shivering in percutaneous nephroscopic pneumatic lithotripsy in patients with upper urinary tract infection was significantly higher than those without upper urinary tract infection. The incidence of shivering in patients with more than 2 hours operation time in the two groups was significantly increased,which was found more significantly in patients with positive results of midstream urine bacterial culture. Conclusion The upper urinary tract infection is the main cause of intraoperative shivering in percutaneous nephroscopic pneumatic lithotripsy. With prolonged operation time,the incidence of shivering significantly increases.

关 键 词：麻醉 上尿道感染 经皮肾镜 寒战 

分 类 号：R614[医药卫生—麻醉学]