泌尿系结石腔镜手术后尿源性脓毒血症发生的原因及防治策略  

Causes and Prevention Strategies of Urinary Sepsis after Laparoscopic Surgery for Urinary Calculi

作　　者：高杨 GAO Yang(Department of Urology,Fushun Center Hospital,Fushun 113006,China)

机构地区：[1]抚顺市中心医院泌尿外科,辽宁抚顺113006

出　　处：《中国医药指南》2021年第29期105-106,共2页Guide of China Medicine

摘　　要：目的分析泌尿系结石腔镜手术后尿源性脓毒血症发生的原因及防治方式,总结防治策略。方法选择84例泌尿系结石腔镜手术后尿源性脓毒血症患者作为研究对象,结合防治举措的差异实施分组,对照组和观察组分别进行常规防治和综合性防治,干预后对相关数据进行分析。结果观察组治疗总有效率(95.24%)明显高于(71.43%)(P<0.05)。观察组患者的身体指标积分、不良症状积分均优于对照组(P<0.05)。观察组的生活质量评分、心理健康评分高于对照组,焦虑评分和抑郁评分低于对照组(P<0.05)。结论针对泌尿系结石腔镜手术后尿源性脓毒血症的案例实施综合防治措施能提升患者的生活质量,结合原因进行针对性防治指导的可行性高。Objective To analyze the causes,prevention and treatment of urogenic sepsis after endoscopy for urinary calculi,and summarize the prevention and treatment results.Methods A total of 84 patients with urogenic sepsis after urolithiasis endoscopic surgery were selected as the research objects.Combined with the difference in prevention and treatment measures,they were divided into control group and observation group,respectively,for routine prevention and treatment and comprehensive prevention and treatment,and the data were analyzed after intervention.Results The total effective rate of observation group and control group was 95.24%and 71.43%respectively.The body index scores and adverse symptom scores of the two patients were analyzed,and the scores of the observation group were better than those of the control group(P<0.05).The scores of quality of life and mental health in the observation group were higher than those in the control group,and the scores of anxiety and depression were lower than those in the control group(P<0.05).Conclusion The comprehensive prevention and treatment of urogenic sepsis after endoscopic urolithiasis surgery can improve the quality of life of patients.

关 键 词：泌尿系统结石 尿源性脓毒血症 腔镜手术 手术效果 

分 类 号：R691.4[医药卫生—泌尿科学]