CAJ | 학술논문

目的探讨仰卧位和俯卧位经皮肾镜碎石术(PCNL)对患者血气分析指标的影响.方法 2012年1月～ 2014年1月本院110例经皮肾镜碎石术,分为仰卧位和俯卧位两组,每组55例,分别记录两种手术体位患者的术前、术中30min、手术结束各时间段血气分析的数据,比较两种不同体位上述数据的差异.结果两组术中术后相比术前在PH值、剩余碱方面都有所下降,差异有统计学意义(P＜0.05),且俯卧位下降更明显;在血钠、血钾方面差异无统计学意义(P＞0.05).结论仰卧位和俯卧位经皮肾镜碎石术两组对血气分析都各自有不同程度的影响,且仰卧位相比俯卧位经皮肾镜碎石术具有对血气分析影响更小、更轻,因此仰卧位经皮肾镜碎石术对年老体弱、肥胖、身体畸形体位搬动不便和有慢性心肺疾患的患者尤为适用,是一种安全和便利的治疗肾结石的微创手术方式.
목적 탐토앙와위화부와위경피신경쇄석술(PCNL)대환자혈기분석지표적영향.방법 2012년1월～ 2014년1월본원110례경피신경쇄석술,분위앙와위화부와위량조,매조55례,분별기록량충수술체위환자적술전、술중30min、수술결속각시간단혈기분석적수거,비교량충불동체위상술수거적차이.결과 량조술중술후상비술전재PH치、잉여감방면도유소하강,차이유통계학의의(P＜0.05),차부와위하강경명현;재혈납、혈갑방면차이무통계학의의(P＞0.05).결론 앙와위화부와위경피신경쇄석술량조대혈기분석도각자유불동정도적영향,차앙와위상비부와위경피신경쇄석술구유대혈기분석영향경소、경경,인차앙와위경피신경쇄석술대년로체약、비반、신체기형체위반동불편화유만성심폐질환적환자우위괄용,시일충안전화편리적치료신결석적미창수술방식.
Objectives To explore the the impact on arterial blood gas analysis with supine position and prone position in percutaneous lithotripsy.Methods 110 patients were randomly divided into supine position and prone position group in our hospital from 2012 January to 2014 January,each group being 55 cases.The blood gas analysis data preoperative,intraoperative 30 minutes,and atthe end of surgery were recorded respectively,comparing data difference between the two positions.Results Compared preoperativedata with postoperative,blood gas analysis about values in the PH and the remaining base areas in both groups have declined,there was a significant decline in the supine position(P ＜ 0.05),and declined obviously in the prone position.There was no difference in sodium and potassium(P ＞0.05).Conclusions The two positons have impact on blood gas analysis in different degrees,and compared to prone position,the supine position in percutaneous renal lithotripsy has a smaller and lighter effect on blood gas analysis.So supine position in percutaneous lithotripsy,which is particularly suitable to the elderly and infirm patients with obesity,physical deformit,difficulty in moving,chronic cardiopulmonary disease,is a safety,convenient and minimally invasive way to treat with kidney stones.