文章摘要
王智芳,刘力婕,薛志芳,等.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[J].中国临床保健杂志,2018,21(3):409-412.
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
Effect of modified early warning score on renal stone patients and its effect on psychological fluctuation
投稿时间：2017-12-22  
DOI：10.3969/J.issn.1672-6790.2018.03.031
中文关键词: 肾结石  肾造口术,经皮  心理现象和过程
英文关键词: Kidney calculi  Nephrostomy,percutaneous  Psychological phenomena and processes〖FL
基金项目:河北省科技厅资助项目(20170735)
作者单位E-mail
王智芳 河北北方学院附属第一医院泌尿外科,张家口 075000 317571895@qq.com 
刘力婕 河北北方学院附属第一医院泌尿外科,张家口 075000  
薛志芳 河北北方学院附属第一医院泌尿外科,张家口 075000  
张倩倩 河北北方学院附属第一医院泌尿外科,张家口 075000  
罗丽娜 河北北方学院附属第一医院泌尿外科,张家口 075000  
张潮 河北北方学院附属第一医院泌尿外科,张家口 075000  
侯彩云 河北北方学院附属第一医院泌尿外科,张家口 075000  
李向东 河北北方学院附属第一医院泌尿外科,张家口 075000  
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中文摘要:
      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。
英文摘要:
      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=12.143,11.306,2.319,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=11.438,3.056,3.881,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.
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