本文關(guān)鍵詞： 尿路結(jié)石 輸尿管軟鏡 碎石術(shù) 腎盂壓　出處：《中國全科醫(yī)學(xué)》2017年29期 　論文類型：期刊論文

【摘要】：目的觀察"空氣減壓"注射器注水法在輸尿管軟鏡鈥激光碎石術(shù)中應(yīng)用的安全性及有效性。方法選取2016年9—12月在鄭州大學(xué)第二附屬醫(yī)院行輸尿管軟鏡鈥激光碎石術(shù)治療的上尿路結(jié)石患者100例,采用隨機(jī)數(shù)表法分為A組和B組。A組50例采用人工注射器注水法,B組50例采用"空氣減壓"注射器注水法。觀察兩組患者術(shù)后體溫38.5℃、白細(xì)胞計數(shù)(WBC)10×109/L、降鈣素原(PCT)0.1μg/L、PCT0.5μg/L、全身炎癥反應(yīng)綜合征(SIRS)發(fā)生率。并監(jiān)測存在腎造瘺通道患者的術(shù)中腎盂壓。結(jié)果兩組術(shù)后體溫38.5℃、PCT0.5μg/L、SIRS發(fā)生率比較,差異均無統(tǒng)計學(xué)意義(P0.05);B組術(shù)后WBC10×10~9/L、PCT0.1μg/L發(fā)生率低于A組(P0.05)。25例術(shù)后發(fā)熱患者經(jīng)過經(jīng)驗性使用抗生素均康復(fù)出院。觀察術(shù)中脈沖式注水曲線圖:A組瞬間灌注壓力幅度呈驟升曲線,B組呈緩慢上升趨勢。結(jié)論 "空氣減壓"注射器注水法可以保持腎盂壓相對穩(wěn)定,改善了人工注水差異導(dǎo)致的瞬間灌注流速及灌注壓驟變。在輸尿管軟鏡鈥激光碎石術(shù)中應(yīng)用安全、有效,尤其適用于易發(fā)感染的高危人群。
[Abstract]:Objective to observe the safety and efficacy of "air decompression" injector injection in ureteral soft endoscope holmium: YAG laser lithotripsy. Methods Holmium: YAG laser lithotripsy was performed in the second affiliated Hospital of Zhengzhou University from 2016 to December. 100 cases of upper urinary calculi treated by surgery, 50 patients in group A were divided into group A and group B. 50 patients in group B were injected with artificial syringe, and 50 patients in group B were injected with "air decompression" syringe. The postoperative body temperature of the two groups was observed at 38.5 鈩，

本文編號：1538119