不同通道模式和体位对经皮肾镜碎石取石术患者的影响  

Influence of Different Approache Modes and Body Positions on Percutaneous Nephrolithotomy Patients

作　　者：杨杰[1] 卢国平[1] 刘豫[1] 陆剑君[1] 黄思源[1] 黄东军 YANG Jie;LU Guoping;LIU Yu;LU Jianjun;HUANG Siyuan;HUANG Dongjun(Nationality Hospital of Guangxi Zhuang Autonomous Region,Nanning 530001,China;不详)

机构地区：[1]广西壮族自治区民族医院,广西南宁530001

出　　处：《中外医学研究》2021年第17期11-14,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：崇左市科技计划项目(崇科攻2019012)。

摘　　要：目的:探讨不同通道模式和体位对经皮肾镜碎石取石术(PCNL)治疗患者的影响。方法:研究纳入2019年6月-2020年3月在本院行PCNL手术治疗的患者120例。按照随机数字分配法将分为侧卧位组、俯卧位组和45°斜仰卧位组,各40例。每组患者随机给予标准通道治疗(n=20)和微通道治疗(n=20)。比较不同通道模式对三组应激指标、肾功能、性功能、生活质量的影响。结果:手术前,三组应激指标、肾功能指标、性功能和生活质量评分比较差异无统计学意义(P>0.05);手术后,45°斜仰卧位组应激指标、肾功能指标水平均低于其余两组,性功能和生活质量评分均高于其余两组,差异有统计学意义(P<0.05);手术后,三组微通道模式的应激指标、肾功能指标水平均低于标准通道,性功能和生活质量评分均高于标准通道,差异有统计学意义(P<0.05)。结论:微通道PCNL手术45°斜仰卧位可以减少患者术后的应激反应,改善患者的性功能及生活质量,避免对患者的肾功能造成影响,临床治疗效果更加显著。Objective:To discuss the influence of different approache modes and body positions on percutaneous nephrolithotomy(PCNL)patients.Method:A total of 120 patients who underwent PCNL surgery in our hospital from June 2019 to March 2020 were enrolled.According to random number assignment method,they were divided into the lateral position group,the prone position group and the 45°oblique supine position group,40 cases in each group.Patients in each group were randomized to standard approache therapy(n=20)or minimally approache therapy(n=20).Compared the influences of different approache modes on stress indexes,renal function,sexual function,quality of life of three groups.Result:Before surgery,there were no statistical significances in stress indexes,renal function indexes,sexual function and quality of life scores among the three groups(P>0.05);after surgery,the stress indexes and renal function indexes of the 45°oblique supine position group were lower than those of the other two groups,and the scores of sexual function and quality of life of the 45°oblique supine position group were higher than those of the other two groups,the differences were statistically significant(P<0.05);after surgery,the levels of stress and renal function indexes in the minimally approache mode in the three groups were lower than those in the standard approache,and the scores of sexual function and quality of life in the minimally approache mode were higher than those in the standard approache,and the differences were statistically significant(P<0.05).Conclusion:Minimally approache PCNL surgery 45°oblique supine position can reduce the postoperative stress response of patients,improve the sexual function and quality of life of patients,avoid the impact on the renal function of patients,its clinical treatment effect is more significant.

关 键 词：经皮肾镜碎石取石术 通道模式 体位 应激指标 肾功能 性功能 生活质量 

分 类 号：R699[医药卫生—泌尿科学]