两种不同温度灌洗液在微创经皮肾镜取石术中的应用及效果观察

Application of irrigation fluids at two different temperatures in minimally invasive percutaneous nephrolithotomy and observation on its effect

目的:探讨两种不同温度灌洗液在微创经皮肾镜取石术(MPCNL)中的应用及效果。方法:将164例MPC-NL患者随机分为实验组81例和对照组83例。对照组使用室温(22℃)生理盐水灌洗液、实验组使用加温后(37℃)生理盐水灌洗液进行冲洗,观察两组患者术中体温变化及寒战的发生率。结果:两组手术开始后60 min、90 min、120 min及手术结束时体温比较差异均有统计学意义(P<0.01);两组寒战发生率比较差异有统计学意义(P<0.01)。结论:术中使用加温灌洗液,可减少微创经皮肾镜取石术患者术中低体温和寒战的发生。

Objective： To explore the application of irrigation fluids at two different temperatures in minimally invasive percutaneous nephrolithotomy and evaluate its effect.Methods： 164 patients with minimally invasive percutaneous nephrolithotomy were randomly divided into experimental group（n=81） and control group（n=83）.The patients in the control group were given irrigation with saline fluid at the room temperature of 22 ℃ and the heated irrigation fluid at the temperature of 37 ℃ was used in the experimental group,and then the change of patients＇ body temperature and the incidence of shiver were observed in both groups.Results： There were statistically significant differences in the comparison of the patients＇ body temperature respectively in 60,90 and 120 minutes and at the end of operation between the two groups（P〈0.01）;the comparison of incidence of shiver between the two groups was significantly different（P〈0.01）.Conclusion： Application of the heated irrigation fluid can reduce the occurrence of hypothermia and shiver in minimally invasive percutaneous nephrolithotomy.