改良早期预警评分在肾结石患者中的应用效果及对心理波动的影响
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摘要
目的探讨改良早期预警评分(S.T.O.N.E)在肾结石患者中的应用效果及对心理波动的影响。方法选取238例肾结石患者,患者均应用经皮肾镜取石术(PCNL)治疗,同时进行S.T.O.N.E评分,分析S.T.O.N.E同患者临床资料之间的联系及对心理波动的影响。结果结石残留组患者的S.T.O.N.E评分、手术时间以及术中出血量均显著高于结石清除组患者(t=12.143、11.306、12.319,均P<0.05);用logistic分析显示,S.T.O.N.E评分、最大截面积以及梗阻程度同结石清除存在显著相关性(χ~2=4.891、6.015、5.483,均P<0.05);结石残留组患者的S.T.O.N.E评分、焦虑自评量表(SAS)评分以及抑郁自评量表(SDS)评分均显著高于结石清除组(t=11.438、13.056、13.881,均P<0.05)。结论 S.T.O.N.E评分同患者的结石清除效果、手术时间以及术中出血量等存在显著相关性,同时能够预测患者心理波动。
Objective To explore the effect of modified early warning score( S. T. O. N. E) on patients with nephrolithiasis and its influence on psychological fluctuation. Methods Two hundred and thirty-eight patients with nephrolithiasis were enrolled and treated with percutaneous nephrolithotomy( PCNL) and all patients were scored by STONE. The correlation between STONE and clinical data was analyzed. Results The STONE score,operation time and blood loss of patients with stone residual were significantly higher than those in patients without stone residual( t =12. 143,11. 306,12. 319,P < 0. 05). Logistic analysis showed that STONE score,maximum cross sectional area and obstructive grade was correlated with stone clearance( χ~2= 4. 891,6. 015,5. 483,P < 0. 05). STONE score,SAS( anxiety self-rating scale) score and SDS( Self-rating Depression Scale) score of patients with stone residual were significantly higher than those in patients without stone residual( t = 11. 438,13. 056,13. 881,P < 0. 05). Conclusion There is a significant correlation between S. T. O. N. E score and stone clearance,operation time and blood loss,meanwhile the S. T. O. N. E score can predict the patient's psychological fluctuation.
Objective To explore the effect of modified early warning score( S. T. O. N. E) on patients with nephrolithiasis and its influence on psychological fluctuation. Methods Two hundred and thirty-eight patients with nephrolithiasis were enrolled and treated with percutaneous nephrolithotomy( PCNL) and all patients were scored by STONE. The correlation between STONE and clinical data was analyzed. Results The STONE score,operation time and blood loss of patients with stone residual were significantly higher than those in patients without stone residual( t =12. 143,11. 306,12. 319,P < 0. 05). Logistic analysis showed that STONE score,maximum cross sectional area and obstructive grade was correlated with stone clearance( χ~2= 4. 891,6. 015,5. 483,P < 0. 05). STONE score,SAS( anxiety self-rating scale) score and SDS( Self-rating Depression Scale) score of patients with stone residual were significantly higher than those in patients without stone residual( t = 11. 438,13. 056,13. 881,P < 0. 05). Conclusion There is a significant correlation between S. T. O. N. E score and stone clearance,operation time and blood loss,meanwhile the S. T. O. N. E score can predict the patient's psychological fluctuation.
引文
[1]黎灿强,徐乐,邱敏捷,等.S.T.O.N.E.评分系统与经皮肾镜碎石术后并发症及结石清除状态的关系[J].现代泌尿外科杂志,2015,20(1):44-47.
[2]AKHAVEIN A,HENRIKSEN C,SYED J,et al.Prediction of single procedure success rate using S.T.O.N.E.nephrolithometry surgical classification system with strict criteria for surgical outcome[J].Urology,2015,85(1):69-73.
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[6]潘俊,桂泽红,王昭辉,等.S.T.O.N.E肾结石评分系统预测经皮肾镜取石术后结石残留的临床研究及改良[J].临床泌尿外科杂志,2016,21(5):448-452.
[7]钟缔,张辉见,蔡超,等.S.T.O.N.E.肾结石评分系统在PCNL术后结石清除状态及围术期情况评估中的应用[J].山东医药,2016,56(17):83-86.
[8]PAREEK G,CONE E,URSINY M,et al.Cost-effectiveness comparison of renal calculi treated with ureteroscopic laser lithotripsy versus shockwave lithotripsy[J].J Endourol,2016,28(6):1-6.
[9]冯艳春,张修莉,刘继霞,等.综合医院住院患者整体抑郁焦虑状况[J].中国健康心理学杂志,2017,25(5):683-687.
[10]田峰,侯建全.S.T.O.N.E.肾结石评分在经皮肾镜取石术中的应用价值[J].国际泌尿系统杂志,2015,35(3):371-374.
[11]潘俊,代睿欣,王昭辉,等.肾结石S.T.O.N.E.评分与Guy's分级预测经皮肾镜取石术后结石残留的比较[J].广东医学,2016,37(20):3065-3068.
[12]RICHARD F,MARGUIN J,BALSSA L,et al.Validation du score prédictif S.T.O.N.E Score sur l'absence de calcul résiduel en urétérorénoscopie(URS)souple[J].Progres En Urologie,2016,26(13):684-684.
[13]高筱琪,丁淑贞,王京,等.老年人健康促进生活方式和健康价值的相关性[J].中国健康心理学杂志,2015,23(5):769-772.
[14]殷锋彦,罗晓辉,刘建舟,等.两种肾脏评分系统在保留肾单位手术中的应用比较[J].中国临床研究,2016,29(5):647-649.
[15]VASANTHI AHR,MUTHULAKSHMI V,GAYATHRI V,et al.Antiurolithiatic effect of sirupeelai samoola kudineer:a polyherbal siddha decoction on ethylene glycol-induced renal calculus in experimental rats[J].Pharmacogn Mag,2017,13(Suppl 2):S273-S279.
[16]詹清和,倪凯德,邵阳.自我接纳在心理健康和自我差异间的中介效应[J].中国健康心理学杂志,2017,25(9):1418-1423.
[17]刘亮程,滕东海,黄贵闽,等.肾结石评分分级系统对预测PCNL术后结石清除率的对比分析[J].现代泌尿外科杂志,2017,22(10):756-760.
[2]AKHAVEIN A,HENRIKSEN C,SYED J,et al.Prediction of single procedure success rate using S.T.O.N.E.nephrolithometry surgical classification system with strict criteria for surgical outcome[J].Urology,2015,85(1):69-73.
[3]彭国辉,李汉忠,李秉诚,等.SHA.LIN、S.T.O.N.E评分系统和Guy's分级法预测经皮肾镜取石术结石清除率准确性的比较研究[J].中华泌尿外科杂志,2016,37(3):199-205.
[4]陈晶晶,王珊珊,王磊,等.健康体检人群焦虑抑郁状况调查分析[J].中国健康心理学杂志,2015,23(9):1317-1320.
[5]ELSHAL A,EL-NAHAS A,SHOMA A,et al.Can Guy's and S.T.O.N.E.scores predict the outcome of percutaneous nephrolithotomy in children?[J].Eur Urol Suppl,2017,16(3):e946-e950.
[6]潘俊,桂泽红,王昭辉,等.S.T.O.N.E肾结石评分系统预测经皮肾镜取石术后结石残留的临床研究及改良[J].临床泌尿外科杂志,2016,21(5):448-452.
[7]钟缔,张辉见,蔡超,等.S.T.O.N.E.肾结石评分系统在PCNL术后结石清除状态及围术期情况评估中的应用[J].山东医药,2016,56(17):83-86.
[8]PAREEK G,CONE E,URSINY M,et al.Cost-effectiveness comparison of renal calculi treated with ureteroscopic laser lithotripsy versus shockwave lithotripsy[J].J Endourol,2016,28(6):1-6.
[9]冯艳春,张修莉,刘继霞,等.综合医院住院患者整体抑郁焦虑状况[J].中国健康心理学杂志,2017,25(5):683-687.
[10]田峰,侯建全.S.T.O.N.E.肾结石评分在经皮肾镜取石术中的应用价值[J].国际泌尿系统杂志,2015,35(3):371-374.
[11]潘俊,代睿欣,王昭辉,等.肾结石S.T.O.N.E.评分与Guy's分级预测经皮肾镜取石术后结石残留的比较[J].广东医学,2016,37(20):3065-3068.
[12]RICHARD F,MARGUIN J,BALSSA L,et al.Validation du score prédictif S.T.O.N.E Score sur l'absence de calcul résiduel en urétérorénoscopie(URS)souple[J].Progres En Urologie,2016,26(13):684-684.
[13]高筱琪,丁淑贞,王京,等.老年人健康促进生活方式和健康价值的相关性[J].中国健康心理学杂志,2015,23(5):769-772.
[14]殷锋彦,罗晓辉,刘建舟,等.两种肾脏评分系统在保留肾单位手术中的应用比较[J].中国临床研究,2016,29(5):647-649.
[15]VASANTHI AHR,MUTHULAKSHMI V,GAYATHRI V,et al.Antiurolithiatic effect of sirupeelai samoola kudineer:a polyherbal siddha decoction on ethylene glycol-induced renal calculus in experimental rats[J].Pharmacogn Mag,2017,13(Suppl 2):S273-S279.
[16]詹清和,倪凯德,邵阳.自我接纳在心理健康和自我差异间的中介效应[J].中国健康心理学杂志,2017,25(9):1418-1423.
[17]刘亮程,滕东海,黄贵闽,等.肾结石评分分级系统对预测PCNL术后结石清除率的对比分析[J].现代泌尿外科杂志,2017,22(10):756-760.