输尿管软镜钬激光碎石术治疗老年输尿管结石的疗效及对患者睡眠质量及应激反应的影响

Effect of Flexible Ureteroscope Holmium Laser Lithotripsy in the Treatment of Ureteral Calculi in Elderly Patients and Its Effect on Sleep Quality and Stress Response

目的:探讨输尿管软镜钬激光碎石术(Flexible Ureteroscopic Holmium Laser Lithotripsy,FURS)治疗老年输尿管结石的效果。方法:选取老年输尿管结石患者40例作为研究对象,按照随机数字表法分为观察组和对照组,每组20例。对照组行经皮肾镜取石术(Percutaneous Nephrolithotripsy,PCNL)治疗,观察组接受FURS治疗,比较2组疗效。结果:术后观察组PSQI评分低于对照组,手术时间长于对照组而住院时间短于对照组,差异有统计学意义(P<0.05);术后2组CRP、IL-6和Cor水平较术前明显提升,差异有统计学意义(P<0.05)。结论:FURS治疗老年输尿管结石可改善患者睡眠质量,缩短住院时间,值得应用。

Objective:To investigate the effect of Flexible Ureteroscopic Holmium Laser Lithotripsy(FURS)in the treatment of ureteral calculi in the elderly.Methods:A total of 40 elderly patients with ureteral calculi were selected as the research objects,were randomly divided into observation group and control group according to random number table method,with 20 cases in each group.The control group was treated with Percutaneous Nephrolithotripsy(PCNL),and the observation group was treated with FURS.The efficacy of the two groups was compared.Results:The postoperative PSQI score of the observation group was lower than that of the control group,the operation time was longer than that of the control group,and the hospital stay was shorter than that of the control group,the difference was statistically significant(P<0.05).The levels of CRP,IL-6 and COR in the 2 groups after surgery were significantly increased compared with those before surgery,with statistical significance(P<0.05).Conclusion:Furs treatment of ureteral calculi in elderly patients can improve the quality of sleep,shorten the length of hospital stay,it is worthy of application.