在儿科患者的手术时间和PCNL后SIRS之间的和效应
Nueraili Abudurexiti1, Xun Li2, Bide Liu3
1Xinjiang Medical University, Urumqi, China.
World journal of urology
|August 18, 2025
概括
在儿科皮肤穿神经切除术 (PCNL) 中延长的操作时间增加了术后系统性炎症反应综合征 (SIRS) 的风险. 确定了70分钟的门,体重不足的儿童更容易受到影响.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术结果研究研究.
- 腎石病的管理方法
背景情况:
- 长时间的手术时间与各种手术中的并发症有关.
- 手术时间对儿科皮肤穿神经切除术 (PCNL) 结果,特别是SIRS的影响尚未得到充分证实.
研究的目的:
- 调查手术时间与儿科PCNL中术后系统性炎症反应综合征 (SIRS) 的发生率之间的关联.
- 确定运行时间对SIRS发展的潜在值影响.
主要方法:
- 对472名接受PCNL的儿科患者进行了回顾性分析.
- 多变量逻辑回归和受限立方线 (RCS) 分析,以评估操作时间和SIRS之间的关系.
- 亚组分析以探索易感度的变化.
主要成果:
- 手术后的SIRS发生在19.07%的患者中.
- 增加的操作时间 (中等和高组) 独立地与较高的SIRS风险相关 (aORs为2.63和2.86).
- 观察到值效应,运行时间超过70分钟,显示出对SIRS风险的和效应. 体重不足的儿童更容易受到伤害.
结论:
- 手术时间是儿科PCNL手术后SIRS的一个独立风险因素.
- 确定了一个非线性,与70分钟的值和关系.
- 这些发现支持优化手术策略,以减轻儿科PCNL中SIRS风险.
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