肾结石术后复发的影响因素分析  

Analysis of infl uencing factors for recurrence of renal calculi after operation

作　　者：马海红[1] 轩诗孟 张温花[1] MA Haihong;XUAN Shimeng;ZHANG Wenhua(Qilu Hospital of Shandong University,Jinan,250000,China)

机构地区：[1]山东大学齐鲁医院泌尿外科,山东省济南市250000

出　　处：《护理实践与研究》2022年第5期651-654,共4页Nursing Practice and Research

摘　　要：目的调查分析肾结石术后复发的影响因素并讨论针对性的防护对策。方法选择2018年10月—2019年10月医院收治的108例肾结石术后患者,根据其随访CT、尿路平片或超声波检查判定术后是否复发,采用单因素和多因素Logistic回归分析复发影响因素。结果 108例肾结石患者术后复发21例,复发率为19.44%。单因素分析结果显示,延续护理、感染性结石、术后饮水量、代谢综合征、高钙尿症、术后过量摄入动物蛋白是影响肾结石患者术后复发的因素(P<0.05);多因素Logistic回归分析结果显示,感染性结石、术后饮水量<3000 ml、高钙尿症是肾结石术后患者1年内复发的独立危险因素(P<0.05),延续护理是其保护因素(P<0.05)。结论肾结石患者术后1年内复发与其术后饮水量、高钙尿症及感染性结石息息相关,延续护理是复发的重要保护因素,应为患者制订延续护理方案,在保证患者治疗效果和安全性的前提下,提高患者对预防复发的认知水平。Objective To investigate and analyze the infl uencing factors of postoperative recurrence of kidney stones and discuss the corresponding protective measures. Methods From October 2018 to October 2019, 108 patients with renal stones after operation were selected. Postoperative recurrence was determined by followup CT, plain urography or ultrasound, the influencing factors of recurrence were analyzed by univariate and multivariate Logistic regression. Results 21 cases had recurrence among the 108 patients with renal stones, the recurrence rate was 19.44%. Univariate analysis showed that, continuous nursing, infectious stones, postoperative water intake, metabolic syndrome, hypercalcemia and excessive intake of animal protein were the influencing factors for the postoperative recurrence of renal stones(P<0.05). Multivariate Logistic regression analysis showed that infectious stones, postoperative water intake <3000 ml and hypercalcemia were the independent risk factors for the recurrence within 1 year after kidney stones surgery(P<0.05), continuons nursing was the protective factor(P<0.05). Conclusion Recurrence in patients with renal stones within 1 year after surgery was closely related to postoperative water intake, hypercalcemia and infectious stones. Continuous nursing is an important protective factor for recurrence. Continuous nursing program should be formulated for patients to improve their cognitive level of recurrence prevention on the premise of ensuring treatment ef fect and safety.

关 键 词：肾结石 复发风险 因素分析 防护措施 

分 类 号：R473.6[医药卫生—护理学]