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刘桂莲; 汤利萍; 易继群; 沈雅琳; 洪艳艳
现代医药卫生, 2022, Volume: 38, Issue: 21Journal Article
R692.4; 目的 探讨快速康复外科(ERAS)理念在经皮肾镜碎石取石术(PCNL)治疗肾结石及输尿管上段结石的临床应用效果.方法 将该院2020年11月至2021年5月收治的161例肾结石及输尿管上段结石患者按随机数字表法分为观察组和对照组,各81例.观察组采用ERAS理念行局部麻醉,对照组采用传统外科手术管理理念行全身麻醉.比较2组患者术后血压、心率、血红蛋白、C反应蛋白、手术时间、术后住院时间、术后活动时间及术后导尿管置管率.结果 与观察组比较,对照组患者术后血压、心率均较高,差异有统计学意义(P<0.05);而2组血红蛋白、C反应蛋白比较,差异均无统计学意义(P>0.05).观察组患者手术时间、住院时间均较对照组缩短,且术后导尿管置管率显著低于对照组,差异有统计学意义(P<0.05);而结石清除率、并发症的发生率和术后疼痛评分与对照组比较,差异均无统计学意义(P>0.05).结论 采用ERAS理念局部麻醉下行PCNL治疗肾结石及输尿管上段结石效果优于传统外科手术管理理念行全身麻醉下PCNL治疗,且术后恢复较快.
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