CAJ | 학술논문

目的：探讨上尿道感染与经皮肾镜气压弹道碎石术中寒战的关系。方法方法回顾性分析2010年1月至2013年12月间有中段尿细菌培养结果，在椎管内阻滞麻醉下行经皮肾镜气压弹道碎石术762例患者的临床资料，分析经皮肾镜气压弹道碎石术中寒战的发生率与上尿道感染、手术时间是否存在关系。结果上尿道感染患者行经皮肾镜气压弹道碎石术中寒战发生率明显高于无上尿道感染患者；手术时间大于2h的患者两组寒战发生率均明显升高，中段尿细菌培养阳性患者更为明显。结论上尿道感染是经皮肾镜气压弹道碎石术中患者发生寒战的主要原因，随着手术时间延长，寒战发生率明显升高。
목적：탐토상뇨도감염여경피신경기압탄도쇄석술중한전적관계。방법방법회고성분석2010년1월지2013년12월간유중단뇨세균배양결과，재추관내조체마취하행경피신경기압탄도쇄석술762례환자적림상자료，분석경피신경기압탄도쇄석술중한전적발생솔여상뇨도감염、수술시간시부존재관계。결과상뇨도감염환자행경피신경기압탄도쇄석술중한전발생솔명현고우무상뇨도감염환자；수술시간대우2h적환자량조한전발생솔균명현승고，중단뇨세균배양양성환자경위명현。결론상뇨도감염시경피신경기압탄도쇄석술중환자발생한전적주요원인，수착수술시간연장，한전발생솔명현승고。
Objective To investigate the relationship between upper urinary tract infection and intraoperative shivering in percutaneous nephroscopic pneumatic lithotripsy. Methods The clinical data of 762 patients with midstream urine bacterial culture results who underwent percutaneous nephroscopic pneumatic lithotripsy under the spinal block anesthesia between January 2010 and December 2013 were retrospectively analyzed,to determine whether there were correlation between the incidence of intraoperative shivering in percutaneous nephroscopic pneumatic lithotripsy and upper urinary tract infection and operation time. Results The incidence of intraoperative shivering in percutaneous nephroscopic pneumatic lithotripsy in patients with upper urinary tract infection was significantly higher than those without upper urinary tract infection. The incidence of shivering in patients with more than 2 hours operation time in the two groups was significantly increased,which was found more significantly in patients with positive results of midstream urine bacterial culture. Conclusion The upper urinary tract infection is the main cause of intraoperative shivering in percutaneous nephroscopic pneumatic lithotripsy. With prolonged operation time,the incidence of shivering significantly increases.