输尿管双J管引流在妊娠期肾绞痛合并急性肾盂肾炎患者中的应用效果  

Application of ureteral double J ureteral tube drainage in patients with renal colic complicated with acute pyelonephritis during pregnancy

作　　者：伍敏仪 陈以德 王美力[1] 陈扬 苏秀梅[1] Wu Minyi;Chen Yide;Wang Meili;Chen Yang;Su Xiumei(Department of Urology,Gaoming People's Hospital of Foshan,Foshan 528500,China)

机构地区：[1]佛山市高明区人民医院泌尿外科,广东佛山528500

出　　处：《实用妇科内分泌电子杂志》2022年第31期23-26,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究妊娠期肾绞痛合并急性肾盂肾炎患者应用输尿管双J管引流的效果。方法选取30例妊娠期肾绞痛合并急性肾盂肾炎患者,根据随机数字表法分为对照组与研究组,各15例。对照组行常规保守治疗,研究组行输尿管双J管引流治疗。对比两组患者临床疗效、血清炎性因子、疼痛评分及症状评分。结果研究组治疗总有效率为100%,高于对照组的66.67%(P<0.05)。治疗前,两组患者白细胞计数、C反应蛋白及降钙素原水平对比,差异均无统计学意义(P>0.05);治疗后,组内对比,两组白细胞计数、C反应蛋白及降钙素原等水平均上升,差异具有统计学意义(P<0.05),组间对比,研究组白细胞计数、C反应蛋白及降钙素原水平均低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组患者疼痛评分对比,差异无统计学意义(P>0.05);治疗后,两组患者疼痛评分均下降,且研究组疼痛评分低于对照组,差异具有统计学意义(P<0.05)。治疗前,两组患者寒颤、腹部疼痛、水肿及发热症状评分对比,差异无统计学意义(P>0.05);治疗后,两组患者寒颤、腹部疼痛、水肿及发热症状评分均低于治疗前,且研究组明显低于对照组,差异具有统计学意义(P<0.05)。结论输尿管双J管引流治疗妊娠期肾绞痛合并急性肾盂肾炎患者效果确切,值得在临床广泛推广。Objective To investigate the effect of double J ureteral tube drainage in patients with renal colic and acute pyelonephritis during pregnancy.Methods 30 patients with renal colic complicated with acute pyelonephritis during pregnancy were selected and divided into control group and study group according to random number table method,with 15 cases in each group.The control group received conventional conservative treatment,and the study group received ureteral double J ureteral tube drainage.The clinical efficacy,serum inflammatory factors,pain score and symptom score of the two groups were compared.Results The total effective rate of the study group was 100%,which was higher than that of the control group 66.67%(P<0.05).Before treatment,there were no significant differences in leukocyte count,C-reactive protein and procalcitonin levels between 2 groups(P>0.05).After treatment,the levels of white blood cell count,C-reactive protein and procalcitonin in the two groups were increased by intra-group comparison,and the differences were statistically significant(P<0.05).By inter-group comparison,the white blood cell count,C-reactive protein and calcitonin raw water in the research group were lower than those in the control group on average,and the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in pain scores between the two groups(P>0.05).After treatment,the pain score of both groups decreased,and the pain score of the research group was lower than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there was no statistical significance in the scores of shivering,abdominal pain,edema and fever between 2 groups(P>0.05).After treatment,the scores of shivering,abdominal pain,edema and fever in 2 groups were lower than before treatment,and the study group was significantly lower than the control group,the difference was statistically significant(P<0.05).Conclusion Double J ureteral tube drainage is effective in the treatmen

关 键 词：输尿管双J管 妊娠期 肾绞痛 急性肾盂肾炎 临床疗效 

分 类 号：R714.258[医药卫生—妇产科学]