世界睡眠医学杂志2024,Vol.11Issue(5) :1020-1022.DOI:10.3969/j.issn.2095-7130.2024.05.019

输尿管软镜下钬激光碎石术对肾结石患者睡眠质量效果研究

Effect of Holmium Laser Lithotripsy Under Ureteroscope on Sleep Quality in Patients with Kidney Stones

李宁
世界睡眠医学杂志2024,Vol.11Issue(5) :1020-1022.DOI:10.3969/j.issn.2095-7130.2024.05.019

输尿管软镜下钬激光碎石术对肾结石患者睡眠质量效果研究

Effect of Holmium Laser Lithotripsy Under Ureteroscope on Sleep Quality in Patients with Kidney Stones

李宁1
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作者信息

  • 1. 广饶县中医院外科,广饶,257300
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摘要

目的:分析输尿管软镜下钬激光碎石术对肾结石患者治疗的临床效果及对睡眠质量的影响.方法:选取2023年1月至2024年1月广饶县中医院收治的肾结石患者80例作为研究对象,按照手术方法分为对照组和观察组,每组40例.对照组实施经皮肾镜碎石取石术,观察组实施输尿管软镜下钬激光碎石术.评价2组睡眠质量、失眠情况、术后恢复情况.结果:与对照组比较,观察组患者匹兹堡睡眠质量指数、阿森斯失眠量表评分更低(P<0.05),同时患者术后恢复肠鸣音、肛门排气、首次进食、首次排便时间更早,但住院时间更长(P<0.05).结论:输尿管软镜下钬激光碎石术创伤轻微,对患者睡眠质量影响小,在协助其获得理想治疗预期的同时有效缩短其康复时间,可用价值较高.

Abstract

Objective:To analyze the clinical efficacy of holmium laser lithotripsy under ureteroscopy in the treatment of kidney stones and its impact on sleep quality.Methods:A total of 80 patients with kidney stones admitted to Gugrao County Hospital of Traditional Chinese Medicine from January 2023 to January 2024 were selected as the study objects.They were sequentially in-cluded in the control group(n=40,who underwent percutaneous nephrolithotripsy)and the observation group(n=40,who under-went holmium laser lithotripsy under ureteroscopy)based on their surgical methods.Evaluate the sleep quality levels,Insomnia situation,Postoperative recovery status of two groups.Results:Compared with the control group,patients in the observation group had lower sleep quality index and Asens Insomnia Scale score(P<0.05).At the same time,patients in the observation group re-covered their bowel sounds,anal exhaust,first meal,and first bowel movement earlier after surgery(P<0.05),but had a longer hospital stay(P<0.05).Conclusion:Ureteroscopic holmium laser lithotripsy,with its advantages of mild trauma and minimal im-pact on patient sleep quality,effectively shortens patient recovery time while assisting patients in achieving ideal treatment expec-tations,and has high practical value.

关键词

肾结石/输尿管软镜/钬激光碎石/手术/泌尿系统疾病/睡眠质量/失眠/康复

Key words

Kidney stones/Ureteroscope/Holmium laser lithotripsy/Surgery/Diseases of urinary system/Sleep quality/Insomnia/Rehabilitation

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基金项目

山东省医药卫生科技发展计划项目(2022KJ151)

出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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参考文献量20
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