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基于智能物联网的 B 超引导下经皮肾镜碎石取石术患者的手术及术后护理。

Surgery and Postoperative Care of Patients Undergoing Percutaneous Nephrolithotomy under the Guidance of B-Ultrasound Based on Smart Internet of Things.

机构信息

Operating Room, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, 250014 Shandong, China.

Urology Surgery Department, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, 250014 Shandong, China.

出版信息

Biomed Res Int. 2022 Oct 3;2022:8902195. doi: 10.1155/2022/8902195. eCollection 2022.

DOI:10.1155/2022/8902195
PMID:36225976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9550444/
Abstract

At present, percutaneous nephrolithotomy has become an option for hospitals increasingly to treat calculus. However, due to the certain risk of percutaneous nephrolithotomy, it may lead to postoperative complications. Analyzing the preoperative factors of septic shock after percutaneous nephrolithotomy can provide guidance for reducing the incidence of septic shock after PCNL. This article establishes a logistic regression model based on preoperative factors, uses statistical methods, and uses the professional statistical software SPSS to create a database and analyze the data. The method of classification data analysis was used to determine various influencing factors including patient factors, stone factor, and preoperative factors and combined B-ultrasound guidance and percutaneous nephrolithotomy to reduce the risk of surgery. The experimental results found that the percutaneous nephroscope laser lithotripsy guided by the smart Internet of Things can effectively perform lithotripsy; in this paper, the preoperative data of different complications are obtained, and the risk of surgery is closely related to the operation time. The operation time exceeds 90 minutes and causes the risk of severe bleeding after PCNL. It is twice the operation time of less than 90 minutes and 5 times the operation time of less than 60 minutes.

摘要

目前,经皮肾镜碎石术已成为医院越来越多地治疗结石的选择。然而,由于经皮肾镜碎石术存在一定的风险,可能会导致术后并发症。分析经皮肾镜碎石术后感染性休克的术前因素,可以为降低 PCNL 后感染性休克的发生率提供指导。本文基于术前因素建立了一个逻辑回归模型,采用统计方法,使用专业统计软件 SPSS 创建数据库并对数据进行分析。采用分类数据分析方法确定了包括患者因素、结石因素和术前因素在内的各种影响因素,并结合 B 超引导和经皮肾镜碎石术降低手术风险。实验结果发现,物联网智能引导的经皮肾镜激光碎石术能有效进行碎石术;本文获得了不同并发症的术前数据,手术风险与手术时间密切相关。手术时间超过 90 分钟会导致 PCNL 后严重出血的风险增加,是手术时间小于 90 分钟的 2 倍,是手术时间小于 60 分钟的 5 倍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/ff60ed009f1b/BMRI2022-8902195.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/8706380285ec/BMRI2022-8902195.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/5af7c2e37b47/BMRI2022-8902195.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/e89da925531a/BMRI2022-8902195.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/35f436e67a4b/BMRI2022-8902195.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/12f92bc0d1ab/BMRI2022-8902195.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/7a2d2f988f73/BMRI2022-8902195.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/b51ac59c4e02/BMRI2022-8902195.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/6c76f1b85aad/BMRI2022-8902195.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/1c41f23e36b4/BMRI2022-8902195.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/ff60ed009f1b/BMRI2022-8902195.010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/8706380285ec/BMRI2022-8902195.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/5af7c2e37b47/BMRI2022-8902195.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/e89da925531a/BMRI2022-8902195.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/35f436e67a4b/BMRI2022-8902195.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/12f92bc0d1ab/BMRI2022-8902195.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/7a2d2f988f73/BMRI2022-8902195.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/b51ac59c4e02/BMRI2022-8902195.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/6c76f1b85aad/BMRI2022-8902195.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/1c41f23e36b4/BMRI2022-8902195.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0876/9550444/ff60ed009f1b/BMRI2022-8902195.010.jpg

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引用本文的文献

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Urol Pract. 2019 Nov;6(6):369-376. doi: 10.1097/UPJ.0000000000000056. Epub 2019 Oct 23.
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Effect of perioperative selective alpha-1 blockers in non-stented ureteroscopic laser lithotripsy for ureteric stones: a randomized controlled trial.围手术期选择性α-1受体阻滞剂在非支架输尿管镜激光碎石治疗输尿管结石中的作用:一项随机对照试验
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