结石红外光谱自动分析系统联合健康干预指导对泌尿系上尿路结石患者术后复发的影响

Influence of automatic analysis system of the calculus of infrared spectrum combined with health intervention guidance on postoperative recurrence of patients with calculus at upper urinary tract of urinary system

目的:研究红外光谱自动分析系统在泌尿外科结石患者结石成分分析及术后预防复发中的效果。方法:选择2021年1月至2023年4月在濉溪县医院泌尿外科接受手术治疗的300例上尿路肾和输尿管结石患者为研究对象,对所有患者结石采用结石红外光谱自动分析系统进行成分分析,结合结石分析结果给予针对性术后健康干预指导,旨在降低术后复发率。结果:300例患者的结石成分可知一水草酸钙的患者例数(201例)最多,比例为67%,其次是碳酸磷灰盐(50例)和二水草酸钙(30例),比例分别为16.67%和10%。本次研究对所有患者进行结石成分分析后,结合具体结果,在术后给予针对性干预指导,所有患者术后3个月出现复发的患者7例,其复发率是2.33%,术后6个月复发的患者10例,复发率是3.33%,术后1年出现复发的患者是12例,复发率是4%,整体而言,不同时间段的复发概率均比较低。结论:对泌尿结石患者采用红外光谱自动分析系统进行分析,能对尿路结石成分快速准确分析,结合结石成分和属性对患者提供针对性的健康指导策略,可降低尿路结石复发率,该系统可以在临床泌尿科广泛应用。

Objective:To study the effect of automatic analysis system of infrared spectrum on the composition analysis of calculus of patients with calculus in urology department and on postoperative prevention of recurrence for patients.Methods:A total of 300 patients with calculus at upper urinary tract,kidney and ureter,who received surgical treatment in the Department of Urology of the Hospital of Suixi County from January 2021 to April 2023,were selected as the study objects.The automatic analysis system of the calculus of infrared spectrum was adopted to analyze the composition for the calculus of all patients,and the analysis results of calculus were combined to conduct targeted postoperative health intervention guidance,which aimed to reduce the postoperative recurrence rate.Results:The calculary composition of 300 patients showed that the number of cases with calcium oxalate monohydrate was the most,with a proportion of 67%,and followed by the cases with phosphate ash carbonate and calcium oxalate dihydrate,with proportions of 16.67%and 10%,respectively.After the analysis of calculus composition of all patients,this study combined with specific result to conduct targeted intervention guidance after surgery.In all patients,7 cases occurred recurrence at the 3rd month after surgery,which recurrent rate was 2.33%,and 10 cases occurred recurrence at the 6th month after surgery,which recurrent rate was 3.33%.A total of 12 cases occurred recurrence at the 12th month after surgery,which recurrent rate was 4%.Overall,the recurrence rates of different time stages were lower.Conclusion:Adopting automatic analysis system of infrared spectrum to conduct analysis for patients with urinary calculus can quickly and accurately analyze the composition of calculus of urinary tract.The targeted health guidance strategies combined with the compositions and properties of calculus for patients can decrease the recurrence rate of urinary calculus.This system can be widely used in department of clinical urology.