输尿管软镜下钬激光碎石术后全身炎性反应综合征的治疗方法及对策

Treatment and countermeasures of systemic inflammatory response syndrome after deflectable ureteroscopy and holmium laser lithotripsy

目的分析输尿管软镜下钬激光碎石术后全身炎性反应综合征(SIRS)的治疗方法及对策。方法选取82例就诊于该院的输尿管软镜下钬激光碎石术后SIRS患者,根据术后治疗方法的不同随机分为干预组与对照组各41例,其中对照组使用常规治疗方法,干预组在常规治疗方法上加用有效的抗感染治疗,观察治疗后2组患者的临床疗效及住院时间。结果干预组总有效率为95.12%显著高于对照组的70.73%,住院时间为(4.89±1.61)d短于对照组的(7.89±1.59)d,差异均有统计学意义(P<0.05)。结论输尿管软镜下钬激光碎石术后并发SIRS的患者中使用对症治疗联合抗生素治疗取得了较好的临床效果,临床症状恢复较快,住院时间明显缩短,在临床治疗中应积极地予以应用。

Objective To analyze the treatment and countermeasures of ureter soft holmium laser lithotripsy postoperative systemic inflammatory response syndrome( SIRS). Methods 82 patients of ureteroscope holmium laser lithotripsy combined with SIRS were slected in the hospital,according to the treatment they were randomly divided into control group and intervention group,each of 41 cases. Control group used routine treatment,and the intervention group used conventional treatment combined with effective anti infection treatment. The clinical curative effect and hospitalization time of two groups were observed after treatment. Results After treatment,the total effective rate in intervention group( 95. 12%) was significantly higher than that of control group( 70. 73%),the hospitalization time of intervention group was( 4. 89 ± 1. 61) d,which was shorter than( 7. 89 ± 1. 59) d of control group,the differences were statistically significance( P < 0. 05). Conclusion Treatment of ureteroscope holmium laser lithotripsy combined with antibiotic combination therapy in SIRS has a good clinical effect and the clinical symptoms recovery faster,and the time of hospitalization is shortened obviously,in the clinical treatment should be actively implemented.