输尿管结石腔内碎石术后并发感染性休克的防治研究  

Study on prevention and treatment of complicated septic shock after intracavitary lithotripsy due to ureteral calculus

作　　者：丁新飞 姚占芳 刘子珊 Ding Xinfei;Yao Zhanfang;Liu Zishan(Department of Urology,Qishi Hospital,Dongguan,Guangdong 523000,China)

机构地区：[1]东莞市企石医院泌尿外科,广东东莞523000

出　　处：《齐齐哈尔医学院学报》2024年第5期434-438,共5页Journal of Qiqihar Medical University

基　　金：东莞市社会发展科技项目(20211800900742)。

摘　　要：目的研究输尿管结石腔内碎石术后并发感染性休克的防治效果。方法选择2022年2月—2023年8月本院收治的60例输尿管结石腔内碎石术并有感染患者作为研究对象,按其入院时间不同分为研究组(2023年1—8月)和对照组(2022年2—12月)两组,每组各30例。对照组接受常规防治措施,研究组接受感染性休克的针对性防治措施,比较两组患者感染性休克发生率、感染性休克患者治疗后的总有效率、炎性指标的变化、症状消失及住院时间、尿常规指标、GQOL-74评分的变化及干预后患者的满意度。结果研究组患者感染性休克的发生率少于对照组,差异具有统计学意义(P<0.05);研究组感染性休克患者治疗后的总有效率高于对照组,差异具有统计学意义(P<0.05);干预前,两组患者炎性指标比较,差异无统计学意义(P>0.05);干预后,研究组患者的PCT、IL-6明显均低于对照组,差异具有统计学意义(P<0.05);研究组患者血尿、发热、绞痛消失及住院天数均少于对照组,差异具有统计学意义(P<0.05);干预前,两组患者尿常规指标比较,差异无统计学意义(P>0.05);干预后,研究组患者的尿红细胞、尿白细胞计数明显均低于对照组,差异具有统计学意义(P<0.05);干预前,两组患者的GQOL-74评分比较,差异无统计学意义(P>0.05);干预后,研究组患者的躯体功能、心理功能、社会功能、物质生活明显均高于对照组,差异具有统计学意义(P<0.05);研究组患者的满意度高于对照组,差异有统计学意义(P<0.05)。结论针对性防治措施效果更为理想,不仅能够缩短住院时长,同时降低感染性休克的发生率,促进患者尿常规改善,对机体的炎症损伤较小,提升生活质量,患者对此满意度高,值得推广。Objective To study the prevention and treatment effects of complicated infectious shock after intracavitary lithotripsy due to ureteral calculus.Methods 60 patients suffering from postoperative infection after intracavitary lithotripsy due to ureteral calculus who were admitted to the hospital during February 2022 and August 2023 were selected as the study subjects.According to the hospitalization time,they were divided into the study group(January 2023 to August 2023)and the control group(February 2022 to December 2022),with 30 cases in each group.Patients in the control group received conventional treatment,while patients in the study group adopted targeted treatment against infectious shock.The incidence of infectious shock,the efficacy of treatment for infectious shock,the change of inflammation indexes,the time need for symptoms disappear,hospitalization time,routine urine test,change of GQOL-74 score,and the satisfaction of patients were compared between the two groups.Results The occurrence of infectious shock in the study group was lower than that of the control group(P<0.05).The total effective rate in the study group was higher than that of control group(P<0.05).There was no significant difference in the inflammatory index between each group before intervention(P>0.05).After intervention,the levels of PCT,IL-6 in the study group were lower than those in the control group(P<0.05).The incidence of hematuresis and fever,time need for angina disappearance and hospital stays in the study group were shorter than those of control group(P<0.05).Before intervention,the routine urine test indicators between the two groups were not significantly different(P>0.05).After intervention,the urine erythrocyte and urine white blood cell count in the study group were lower than those of the control group(P<0.05).Before intervention,Generic quality of life inventory-74(GQOL-74)scores between groups were not significantly different(P>0.05).After intervention,the physical function,psychological function,social function and m

关 键 词：防治措施 输尿管结石腔内碎石术 感染性休克 生活质量 

分 类 号：R693.4[医药卫生—泌尿科学]