论文部分内容阅读
目的:研究孤立肾经皮肾镜取石术的手术风险管理。方法:选取2013年6月至2016年3月东莞康华医院68例行孤立肾经皮肾镜取石术患者作为研究对象。采用数字法随机将两组患者分为观察组和对照组,各34例。观察组患者实施手术风险管理,对照组实施普通管理。对比观察两组的不良反应发生情况。结果:观察组与对照组的焦虑自评表(SAS)评分和抑郁自评表(SDS)评分在管理之后均得到明显调节,差异具有统计学意义(P<0.05),观察组的降低程度明显优于对照组,差异具有统计学意义(P<0.05)。观察组出现大出血、感染性休克、败血症以及肾衰竭的几率均小于对照组,总发生率明显小于对照组,差异具有统计学意义(P<0.05)。观察组管理效果明显优于对照组,差异具有统计学意义(P<0.05)。结论:对孤立肾经皮肾镜取石术的手术风险进行评估,能够有效降低患者手术之后不良事件的发生率,有效改善患者的生活质量。
Objective: To study the surgical risk management of isolated renal percutaneous nephrolithotomy. Methods: From June 2013 to March 2016, 68 patients with isolated renal percutaneous nephrolithotomy in Dongguan Kanghua Hospital were selected as the research object. Two groups of patients were randomly divided into observation group and control group using digital method, each 34 cases. Patients in the observation group were underwent surgery risk management while control group were administered general management. The incidence of adverse reactions in the two groups were compared. Results: The scores of SAS and SDS in the observation group and the control group were significantly adjusted after the management, the difference was statistically significant (P <0.05), the observation group decreased significantly Better than the control group, the difference was statistically significant (P <0.05). The incidence of major bleeding, septic shock, sepsis and renal failure in the observation group were less than those in the control group, and the overall incidence was significantly lower than that in the control group (P <0.05). Observation group management was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion: The evaluation of the surgical risk of isolated renal percutaneous nephrolithotomy can effectively reduce the incidence of adverse events after surgery and effectively improve the quality of life of patients.