摘要
目的探讨经皮肾镜取石术(PCNL)后患者发热的危险因素,为预防PCNL后并发症提供有效措施。方法回顾性分析380例行PCNL术患者的临床资料,采用Logistic回归模型分析术后发热的影响因素。结果单因素Lo-gistic回归模型分析显示术前是否尿路感染、是否急性梗阻、结石直径、灌注液量、手术出血量、手术时间等因素均有统计学意义(均P<0.05),而年龄、性别因素无统计学意义(P>0.05),经Logistic多因素分析可知,术前是否尿路感染、结石直径、手术时间和手术出血量有统计学意义(P<0.05)。结论术前合并尿路感染、结石大、手术时间长且出血量大的患者更易发生术后感染发热,可通过控制以上因素,如术前应用广谱抗生素、控制手术时间和规范手术操作有效预防PCNL术后发热。
Objective To explore the risk factors and preventive measures of the fever patients after percutaneous nephrolithotomy（PCNL）.Methods The clinical data of 380 patients undergoing PCNL were analyzed retrospectively,then the Logistic regression model was used to analyze the impact factors of fever after PCNL.Results The urinary tract infection,acute obstruction,stone size,perfusion fluid volume,operative bleeding and operative time were all statistically significant by the results of single factor analysis of Logistic regression model（all P 0.05）,while the factors of age,gender were not（all P 0.05）.Preoperative urinary tract infection,stone size,operative time and operative bleeding were statistically significant by multiple factors analysis of Logistic regression model（P 0.05）.Conclusion With reoperative urinary tract infection,big stone,long operative time and large bleeding volume,patients are more susceptible to have postoperative infection fever.To control the above factors,using antibacterial agents,controlling operation time and standardizing surgical procedures can effectively prevent the fever after PCNL.
出处
《中国医药导报》
CAS
2012年第27期164-165,168,共3页
China Medical Herald
关键词
经皮肾镜取石术
肾结石
发热
影响因素
Percutaneous nephrolithotomy
Renal calculus
Fever
Risk factors
