CAJ | 학술논문

目的：探讨早干预对感染性微创经皮肾镜取石术麻醉后复苏的影响。方法回顾性分析感染性上尿路结石行微创经皮肾镜取石术术后1 h 乃未完全清醒患者40例，将这40例患者分为观察组（早期干预组，干预时间为术后1 h）和对照组（晚期干预组，干预时间为诊断为脓毒症或脓毒性休克时），对两组患者的脓毒症例数、休克例数、住院天数、后遗症数、死亡数等指标进行观察和统计。结果观察组脓毒症例数、休克例数、住院天数等指标明显低于对照组患者相关指标（p ＜0．05）。结论早干预基本能避免感染性微创经皮肾镜取石术患者发展成脓毒症或脓毒性休克，明显改善预后、缩短住院时间，具有极大的临床价值和社会效益。
목적：탐토조간예대감염성미창경피신경취석술마취후복소적영향。방법회고성분석감염성상뇨로결석행미창경피신경취석술술후1 h 내미완전청성환자40례，장저40례환자분위관찰조（조기간예조，간예시간위술후1 h）화대조조（만기간예조，간예시간위진단위농독증혹농독성휴극시），대량조환자적농독증례수、휴극례수、주원천수、후유증수、사망수등지표진행관찰화통계。결과관찰조농독증례수、휴극례수、주원천수등지표명현저우대조조환자상관지표（p ＜0．05）。결론조간예기본능피면감염성미창경피신경취석술환자발전성농독증혹농독성휴극，명현개선예후、축단주원시간，구유겁대적림상개치화사회효익。
Objective To explore the effect of early intervention on anesthesia recovery of minimally invasive percutanious nephrolithotomy surgery with infecton .Methods Retrospective analysis of infection of upper urinary tract calculi underwent minimally invasive percutaneous nephrolithotomy after 1 h is not completely clear in 40 cases. These 40 cases were divided into observation group (intervention group, intervention time for operation control group (1H) and late intervention group, intervention time for the diagnosis of sepsis sepsis or septic shock ).The two groups of patients with septic shock patients , the number of cases, the number of days of hospitalization , the number of deaths sequelae, and other indicators were observed .Results The observed number in the observer group is sig -nificantly lower than the control group (p <0.05).Conclusion Early intervention nearly can prevent the develop -ment of infectious basic minimally invasive percutaneous nephrolithotomy surgery patients with sepsis or septic shock , which can significantly improve the prognosis , shorten hospital stay, have great clinical value and social benefits .