摘要
目的探讨体质量指数(BMI)对PCNL手术操作及术后恢复情况的影响。方法选取我院2013年2月至2014年1月给予PCNL手术操作的患者60例,根据BMI分为超重组(28例,BMI≥24 kg/m^2)和正常组(32例,18.5 kg/m^2≤BMI<24kg/m^2)。对比两组患者的术中出血量、手术时间、住院时间、结石清除情况及并发症发生率。结果超重组的手术时间和术中出血量均多于正常组,结石清除率低于正常组,差异均有统计学意义(P<0.05);术后两组患者的并发症发生率比较差异无统计学意义(P>0.05)。结论 BMI对PCNL手术操作具有显著影响,高BMI值可增加患者行PCNL手术的时间,导致术中出血量增加和结石清除率降低,而对其术后的恢复情况无显著影响。
Objective To explore the effect of body mass index （BMI） on the operation and postoperative recovery of PCNL. Methods 60 cases of patients undergoing PCNL operation in our hospital from February 2013 to January 2014 were selected and divided into overweight group （28 cases, BMI≥24 kg/m2） and normal group （32 cases, 18.5 kg/m2≤ BMI〈24 kg/m2） according to their BMI. The intraoperative blood loss, operation time, hospitalization time, stone clearance rate and incidence of complications were compared between two groups. Results The operation time and intraoperative blood loss of overweight group were more than those of normal group, and the stone clearance rate was lower than that of normal group, with statistical differences （P 〈0.05）. No statistical difference was found in the incidence of postoperative complications between two groups （P 〉0.05）. Conclusions BMI on the PCNL operation has significant effect. High BMI can increase PCNL operation time of patients, which leads to increasing intraoperative blood loss and reducing stone clearance rate, without significant effect on postoperative recovery.
出处
《临床医学工程》
2017年第3期357-358,共2页
Clinical Medicine & Engineering
