摘要
目的:分析复杂型肾结石患者应用超声引导下多通道经皮肾镜治疗的清石效果及对患者睡眠质量产生的影响。方法:选取2020年7月至2022年5月在南安市省新卫生院进行手术治疗的复杂型肾结石患者106例作为研究对象,按照随机抽样法分为对照组和观察组,每组53例。观察组患者应用超声引导下多通道经皮肾镜取石术,对照组患者采用单通道经皮肾镜取石术,比较2组结石清除效果及预后改善情况。结果:观察组一期结石清除率高于对照组,2组比较差异有统计学意义(P<0.05)。2组平均手术时间及术后平均下床活动时间比较,差异无统计学意义(P>0.05)。观察组术中平均出血量多于对照组,术后平均住院时间均短于对照组,2组比较差异有统计学意义(P<0.05)。术后观察组CRP高于对照组,2组比较差异有统计学意义(P<0.05)。2组血红蛋白(Hb)、血肌酐(SCr)水平比较,差异无统计学意义(P>0.05)。2组术后并发症总发生率比较,差异无统计学意义(P>0.05)。术后观察组PSQI评分低于对照组,2组比较差异有统计学意义(P<0.05)。结论:复杂型肾结石患者应用超声引导下多通道经皮肾镜治疗能够提高结石清除率并改善患者睡眠质量。
Objective:To analyze the effect of multichannel percutaneous nephrolithotomy under the guidance of color Doppler ultrasound in the treatment of complex renal calculi and its influence on the sleep quality of patients.Methods:A total of 106 patients with complex renal calculi who underwent surgical treatment in the New Health Center of Nan′an Province from July 2020 to May 2022 were randomly divided into two groups,each group has 53 patients.The observation group(n=53)was treated with multi-channel percutaneous nephrolithotomy guided by color ultrasound,and the control group(n=53)was treated with single channel percutaneous nephrolithotomy.Results:The primary stone clearance rate in the observation group was higher than that in the control group,the difference between the two groups was statistically significant(P<0.05).There was no significant difference between the two groups in the average operation time and the average time of getting out of bed after operation(P>0.05).The average bleeding volume in the observation group was more than that in the control group,and the average hospital stay after operation was shorter than that in the control group,the difference between the two groups was statistically significant(P<0.05).CRP in the observation group was higher than that in the control group,the difference between the two groups was statistically significant(P<0.05),and there was no significant difference in Hb and Scr levels between the two groups(P>0.05).There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05).The PSQI score in the observation group was lower than that in the control group,the difference between the two groups was statistically significant(P<0.05).Conclusion:Multi channel percutaneous nephroscopy guided by color ultrasound can improve the stone clearance rate and sleep quality of patients with complex renal calculi.
作者
黄燕红
HUANG Yanhong(Department of Ultrasound,New Health Center of Nan′an Province,Nan′an 362300,China)
出处
《世界睡眠医学杂志》
2023年第1期25-27,共3页
World Journal of Sleep Medicine
关键词
复杂型肾结石
超声
多通道经皮肾镜
结石清除率
手术指标
并发症
睡眠质量
Complex renal calculi
Color ultrasound
Multichannel percutaneous nephroscope
Stone clearance rate
Surgical indicators
complication
Sleep quality
