经皮肾镜碎石术后发生全身炎症反应综合征影响因素分析

罗琦; 罗生军; 常启跃; 叶茂; 唐伟

doi:10.13406/j.cnki.cyxb.000750

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经皮肾镜碎石术后发生全身炎症反应综合征影响因素分析

临床研究 | 更新时间：2024-01-17

- 经皮肾镜碎石术后发生全身炎症反应综合征影响因素分析
- Systemic inflammatory response syndrome related factors after percutaneous nephroithotomy
- 重庆医科大学学报 2015年40卷第12期页码：1562-1566
- 作者机构：
  
  重庆医科大学附属第一医院泌尿外科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.000750
  中图分类号： R699
- 纸质出版日期：2015，
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[1]罗琦,罗生军,常启跃,叶茂,唐伟.经皮肾镜碎石术后发生全身炎症反应综合征影响因素分析[J].重庆医科大学学报,2015,40(12):1562-1566.

Luo Qi, Luo Shengjun, Chang Qiyue, et al. Systemic inflammatory response syndrome related factors after percutaneous nephroithotomy[J]. Journal of Chongqing Medical University, 2015,40(12):1562-1566.
[1]罗琦,罗生军,常启跃,叶茂,唐伟.经皮肾镜碎石术后发生全身炎症反应综合征影响因素分析[J].重庆医科大学学报,2015,40(12):1562-1566. DOI： 10.13406/j.cnki.cyxb.000750.

Luo Qi, Luo Shengjun, Chang Qiyue, et al. Systemic inflammatory response syndrome related factors after percutaneous nephroithotomy[J]. Journal of Chongqing Medical University, 2015,40(12):1562-1566. DOI： 10.13406/j.cnki.cyxb.000750.

摘要

目的:研究经皮肾镜碎石术（percutaneous nephroithotomy

PCNL）后发生全身炎症反应综合征（systemic inflammatory response syndrome

SIRS）的影响因素以便更好的指导临床如何预防PCNL后SIRS的发生。方法:收集重庆医科大学附属第一医院2012年12月至2014年1月121例行PCNL患者

通过回顾性分析研究年龄、结石的位置、性别、肾脏积水程度、肾脏结石大小、手术时间、结石培养、肾盂尿培养、术前中段尿培养与术后是否发生SIRS的关系。单因素分析采用卡方检验

多因素分析采用logistic回归分析。结果:单因素分析结果提示性别、肾脏积水程度、肾脏结石大小、手术时间、结石培养、肾盂尿培养、术前中段尿培养与术后发生SIRS有一定关系（P<0.05）

与年龄及结石位置无关系（P>0.05）

多因素研究结果表明:术后SIRS的发生与手术时间、性别、结石培养及肾脏积水程度有密切关系（P<0.05）。结论:PCNL术后SIRS的发生与手术时间、性别、结石培养及肾脏积水程度有密切关系

需引起高度重视。PCNL术中应严格控制手术时间

术后需完善结石细菌培养。

Abstract

Objective:To analyze the related influencing factors which cause systemic inflammatory response syndrome(SIRS) after percutaneous nephroithotomy(PCNL) in order to get better clue to the prevention. Methods:Medical records of 121 patients who treated with PCNL from December 2012 to January 2014 in the First Affiliated Hospital of Chongqing Medical University were reviewed retrospectively according to age

side(left vs.right)

gender(male vs.female)

level of hydronephrosis

size of stones

time of surgery

stone culture

pelvic urine culture and preoperative midstream urine culture.The single factor was analyzed by Chi-square test and multi-factor was analyzed by logistic regression analysis. Results:Single factor analysis indicated that gender

level of hydronephrosis

size of stones

operation time

stone culture

pelvic urine culture and preoperative middle urine culture had certain relationship with postoperative SIRS(P<0.05);age and side had no relationship with postoperative SIRS(P >0.05). Multiple-factor analysis indicated that gender

level of hydronephrosis

operation time

stone culture had certain relationship with postoperative SIRS(P<0.05).Conclusion:The influence factors of SIRS after PCNL include gender

level of hydronephrosis

time of surgery

stone culture

which should been taken seriously. We should control operation time and improve the bacteria culture of the stone after the operation.

关键词

经皮肾镜碎石术全身炎症反应综合征影响因素

Keywords

percutaneous nephroithotomysystemic inflammatory response syndromeinfluencing factor

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