经皮肾镜取石术后尿源性脓毒症的危险因素分析

发布时间：2018-04-09 22:16

本文选题：经皮肾镜取石术　切入点：尿源性脓毒症　出处：《遵义医学院》2014年硕士论文

【摘要】：目的：探讨经皮肾镜取石术后尿源性脓毒症的危险因素，为PCNL术前术后预防尿源性脓毒症提供理论依据。方法：回顾性分析2011年9月至2013年9月遵义医学院附属医院行经皮肾镜取石术资料完整患者386例，术后并发尿源性脓毒症35例。对术后尿源性脓毒症的相关因素进行单因素和多因素相关分析。结果：单因素分析结果示：女性患者（P=0.000），糖尿病病史（P=0.003），术前未使用抗生素（P=0.036），，结石直径＞2cm（P=0.041）与PCNL术后尿源性脓毒症相关。多因素分析发现女性(P=0.000)、糖尿病史(P=0.005)为PCNL术后尿源性脓毒症的危险因素。结论：女性和糖尿病病史为PCNL术后尿源性脓毒血症的独立危险因素，对高危患者术前予以抗感染治疗，能减少术后尿源性脓毒症的发生。
[Abstract]:Objective: to explore the risk factors of urogenic sepsis after percutaneous nephrolithotomy, and to provide theoretical basis for the prevention of urogenic sepsis before and after PCNL.Methods: 386 patients with complete data of percutaneous nephrolithotomy from September 2011 to September 2013 in affiliated Hospital of Zunyi Medical College were analyzed retrospectively.Univariate and multivariate correlation analysis was performed on the related factors of urinary sepsis after operation.Results: the results of univariate analysis showed that P0. 000 of female patients, P0. 003 of diabetic history, no use of antibiotic P0. 036, diameter of stone > 2 cm, P0. 041) were associated with urogenic sepsis after PCNL.Multivariate analysis showed that the risk factors of urogenic sepsis after PCNL were 0.000 and 0.005 in women and diabetes mellitus respectively.Conclusion: the history of female and diabetes mellitus is an independent risk factor for urogenic sepsis after PCNL.
【学位授予单位】：遵义医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R699.2

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