摘要
目的经皮肾镜碎石取石术进行治疗后,通过针对性防治措施进行预防治疗,对尿源性脓毒血症休克的发生的预防效果进行研究。方法笔者从该院在2017年5月—2019年5月收治的患者中随机抽取出100例进行经皮肾镜碎石取石术进行治疗的患者进行研究,将所有患者按照随机化方法分成两组,对照组(n=50)患者通过常规防治措施进行尿源性脓毒血症休克防治,观察组(n=50)患者通过针对措施进行防治,对两组患者的治疗总有效率以及临床症状(是否寒颤、呼吸频率、体温、心率)进行比较,评价防治效果。结果观察组患者术后的治疗总有效率为98.0%(49/50),治疗康复患者有41例,治疗显效患者有7例,治疗有效的患者有1例,治疗无效的患者有1例,对照组患者术后的治疗总有效率为52.0%(26/50),治疗康复患者有6例,治疗显效患者有7例,治疗有效患者有13例,治疗无效患者有24例,差异有统计学意义(P<0.05);观察组患者发生寒颤的例数、呼吸频率、体温以及心率水平均明显优良于对照组患者,其中观察组中没有患者发生寒颤情况,对照组患者中发生寒颤的患者例数有19例,差异有统计学意义(t=5.412、6.987、5.128,P<0.05)。结论经皮肾镜碎石取石术患者通过一系列的针对性防治措施,可以有效的减少术后发生尿源性脓毒血症的发生,患者的临床症状得到明显的改善,使患者的生命安全得到保障,值得在临床中推广以及应用。
Objective After percutaneous nephrolithotomy and stone removal,the preventive effect of urinary sepsis shock was studied by targeted prevention and treatment.Methods The authors randomly selected 100 patients who underwent percutaneous nephrolithotomy in the hospital from May 2017 to May 2019,and divided all patients into two according to randomization:control group(n=50)patients underwent routine prevention and treatment measures for urinary sepsis shock prevention,observation group(n=50)patients through prevention and treatment,the total effective rate of treatment and clinical symptoms(whether chilling,respiratory rate,body temperature,heart rate)were compared to evaluate the effects of prevention and treatment.Results The total effective rate of postoperative treatment was 98.0%(49/50)in the observation group,41 in the treatment of rehabilitation,7 in the treatment,1 in the effective treatment,and 1 in the ineffective treatment.The total effective rate of postoperative treatment was 52.0%(26/50)in the control group,6 in the treatment of rehabilitation patients,7 in the treatment-effective patients,13 in the treatment-effective patients,and 24 in the treatment-ineffective patients.There were significant differences,the difference was statistically significant(P<0.05).The number of cases of chills,respiratory rate,body temperature and heart rate were significantly better in the observation group than in the control group,and no patients in the observation group occurred.In the case of chills,there were 19 patients with chills in the control group.There were significant differences between the two groups,and the difference was statistically significant(t=5.412,6.987,5.128,P<0.05).Conclusion Percutaneous nephrolithotomy and stone removal surgery can effectively reduce the occurrence of postoperative urinary sepsis through a series of targeted prevention and treatment measures.The clinical symptoms of patients are significantly improved and the life safety of patients is guaranteed and worthy of promotion and application in the clinic.
作者
游刚
耿超
徐连荣
韦伟
YOU Gang;GENG Chao;XU Lian-rong;WEI Wei(Chongqing Hongren No.1 Hospital,Chongqing,408400 China)
出处
《系统医学》
2020年第1期92-94,共3页
Systems Medicine
