摘要
目的:分析肾结石钬激光碎石取石术后患者发生感染性休克的影响因素。方法:回顾性分析2020年1月至2023年3月该院收治的37例肾结石钬激光碎石取石术后发生感染性休克患者的临床资料,作为研究组,选取同期43例肾结石钬激光碎石取石术后未发生感染性休克患者的临床资料,作为对照组。比较两组基线资料,分析肾结石钬激光碎石取石术后患者发生感染性休克的影响因素。结果:两组性别、年龄、体质量指数、结石直径、结石分布比较,差异均无统计学意义(P>0.05);两组术前肾积水、血红蛋白下降值、中性粒细胞百分比、手术时间、术中失血量、术后引流不通畅和术后中段尿培养阳性占比比较,差异均有统计学意义(P<0.05);Logistic回归分析显示,术前肾积水、手术时间>1.5 h、术中失血量>500 mL、中性粒细胞百分比>90%、血红蛋白下降值>10 g/L、术后引流不通畅、术后中段尿培养阳性均为影响肾结石钬激光碎石取石术后患者发生感染性休克的危险因素(P<0.05)。结论:术前肾积水、手术时间>1.5 h、术中失血量>500 mL、中性粒细胞百分比>90%、血红蛋白下降值>10 g/L、术后引流不通畅、术后中段尿培养阳性均为影响肾结石钬激光碎石取石术后患者发生感染性休克的危险因素。
Objective:To observe influencing factors of septic shock in patients after Holmium laser lithotripsy for renal calculi.Methods:The clinical data of 37 patients with septic shock after holmium laser lithotripsy for renal calculi admitted to this hospital from January 2020 to March 2023 were retrospectively analyzed and they were set as the study group.The clinical data of 43 patients without septic shock after holmium laser lithotripsy for renal calculi were retrospectively analyzed and they were set as control group.The baseline data were compared between the two groups.The influencing factors of septic shock in the patients with renal calculi after holmium laser lithotripsy were analyzed.Results:There were no significant differences in gender,age,body mass index,stone diameter and stone distribution between the two groups(P>0.05).There were statistically significant differences in the proportions of preoperative hydronephrosis,hemoglobin decrease value,neutrophils,operation time,intraoperative blood loss,postoperative drainage obstruction and postoperative midstream urine culture between the two groups(P<0.05).Logistic regression analysis showed that preoperative hydronephrosis,surgery time>1.5 h,intraoperative blood loss>500 mL,neutrophils>90%,hemoglobin decrease>10 g/L,postoperative drainage obstruction,and positive midstream urine culture were all risk factors for septic shock in the patients after holmium laser lithotripsy for renal calculi(P<0.05).Conclusions:Preoperative hydronephrosis,surgery time>1.5 h,intraoperative blood loss>500 mL,neutrophils>90%,hemoglobin decrease>10 g/L,postoperative drainage obstruction,and positive midstream urine culture are the risk factors for septic shock in the patients after holmium laser lithotripsy for renal calculi.
作者
焦珂
魏蓓蕾
JIAO Ke;WEI Beilei(Department of Urology of the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)
出处
《中国民康医学》
2023年第23期28-30,共3页
Medical Journal of Chinese People’s Health
