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石头得分:一个预测器需要输血在皮肤内切除术中的血液输血

Aniqa Saeed^1,2, Wajahat Aziz^1,2, Alizah Pervaiz Hashmi

¹Department of Urology, The Aga Khan University Hospital, Karachi, Pakistan.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|May 9, 2024

概括

高身体质量指数 (BMI) 和STONE评分预测皮肤透神经切除术 (PNCL) 后的输血. 肥胖患者可能需要血液制品安排.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
外科手术的结果
脊髓石切除术 (nephrolithotomy) 是一个切除术.

背景情况:

透皮骨切除术 (PNCL) 是对结石的常见手术.
预测PNCL后的输血需求对于患者管理至关重要.
石头得分和患者的并发症是潜在的预测因素.

研究的目的:

评估STONE评分对PNCL后输血的预测价值.
为了确定与患者相关的因素,包括肥胖和并发症,从而预测输血需求.

主要方法:

对89名接受PNCL的患者进行了横截面描述性研究.
评估了STONE分数和身体质量指数 (BMI).
使用了奇平方,费舍尔精确和逻辑回归分析.

主要成果:

平均STONE得分为7.87,输血率为8.9%.
较高的BMI (>25kg/m2) 和STONE分数最初是显著的预测因素 (p<0.05).
多变量分析仅确定BMI作为输血的重要因素.

结论:

升高的BMI是PNCL后输血需求的重要预测因素.
这些发现建议将血液制品制剂专注于接受PNCL的肥胖患者.

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