摘要
目的 分析重度肾积水梗阻解除术后患者肾功能恢复情况的相关影响因素,为临床采取相关干预措施提供指导。方法 回顾性分析2019年4月至2022年4月医院收治的75例重度肾积水患者的临床资料,评估其肾功能恢复情况,并分析影响患者梗阻解除术后肾功能恢复情况的因素。结果 随访6个月,梗阻解除术治疗后重度肾积水患者肾功能未明显恢复的发生率为40.00%。多因素Logistic回归分析结果显示,年龄≥60岁、伴上尿路感染、急性生理学和慢性健康状况评价Ⅱ(APACHEⅡ)评分≥17分、肾实质厚度<5 mm是患者术后肾功能未明显恢复的主要因素(P<0.05)。结论 影响重度肾积水患者梗阻解除术后肾功能恢复的主要因素为年龄、上尿路感染、APACHEⅡ评分、肾实质厚度,临床需采取相关干预措施,促进患者术后肾功能恢复。
Objective The related influencing factors of renal function recovery in patients after disengaging severe hydronephrosis were analyzed to provide guidance for clinical intervention measures.Methods Clinical data of 75 patients with severe hydronephrosis admitted to the hospital from April 2019 to April 2022 were retrospectively analyzed to evaluate the recovery of renal function and analyze the factors affecting the recovery of renal function after disengaging hydronephrosis.Results After 6 months of follow-up,40%severe hydronephrosis patients'renal function didn't recovery obviously after disengaging.Multivariate Logistic regression analysis showed that age≥60 years old,accompanied by upper urinary tract infection,acute physiology and chronic health evaluationⅡ(APACHEⅡ)scores≥17,renal parenchyma thickness<5 mm were the main factors that patients'renal function didn't recovery obviously after disengaging(P<0.05).Conclusions Age,upper urinary tract infection,APACHEⅡscore,renal parenchyma thickness are the main factors affecting the recovery of renal function after disengaging in patients with severe hydronephrosis.Clinical intervention measures should be taken to promote the recovery of renal function.
作者
程海贞
张平
Cheng Haizhen;Zhang Ping(Leping Hospital of Traditional Chinese Medicine of Jiangxi Province,Leping Jiangxi 333300,China)
出处
《医疗装备》
2023年第14期141-143,146,共4页
Medical Equipment
关键词
重度肾积水
梗阻解除术
肾功能
影响因素
干预措施
Severe hydronephrosis
Obstruction disengagement
Kidney function
Influencing factors
Intervention measure
