对肾结石合并糖尿病患者采用经皮肾取石术的临床效果分析

目的分析肾结石合并糖尿病患者采用经皮肾取石术的临床效果。方法该次研究中的观察主体均随机抽选2018年8月—2020年2月在该院接受诊治的96例肾结石合并糖尿病患者,根据奇偶数分组法将其分为对照组与研究组,对照组应用体外冲击波碎石术,研究组应用经皮肾取石术,对两组患者的手术指标、肾功能指标、血糖指标以及结石残留率与复发率进行比较。结果研究组患者在手术时间、住院时间方面的数据,均短于对照组,差异有统计学意义(P<0.05);研究组患者在尿素氮、血肌酐、餐后2 h血糖和空腹血糖方面的数据,均明显低于对照组,差异有统计学意义(P<0.05);研究组患者的结石残留率(2.1%)和复发率(4.2%)明显低于对照组患者的结石残留率(14.6%)和复发率(18.8%),差异有统计学意义(P<0.05)。结论经皮肾取石方式在肾结石合并糖尿病患者中的临床效果显著,可改善患者手术指标,调节患者血糖水平,促进患者肾功能的修复,降低患者并发症发生率、结石残留率以及复发率。

Analysis of the Clinical Effect of Percutaneous Nephrolithotomy in Patients with Kidney Stones and Diabetes

Objective To analyze the clinical effect of percutaneous nephrolithotomy in patients with kidney stones and diabetes.Methods The subjects of observation in this study were randomly selected from August 2018 to February 2020 in 96 patients with kidney stones and diabetes mellitus who were diagnosed and treated in the hospital.The number was 96.They were divided into control group and the study group according to the odd and even number grouping method.Compared with the study group and the control group using extracorporeal shock wave lithotripsy and the study group using percutaneous nephrolithotomy,the surgical indexes,renal function indexes,blood glucose indexes,stone residual rate and recurrence rate of the two groups were compared.Results The data of the patients in the study group in terms of operation time and hospital stay were shorter than those in the control group,the difference was statistically significant(P<0.05);the data of the patients in the study group in the four aspects of urea nitrogen,blood creatinine,2 h postprandial blood glucose and fasting blood glucose were all significantly lower than the control group,the difference was statistically significant(P<0.05);the stone residual rate(2.1%)and recurrence rate(4.2%)of the study group were significantly lower than the control group residual rate(14.6%)and recurrence rate(18.8%),the difference was statistically significant(P<0.05).Conclusion Percutaneous nephrolithotomy has significant clinical effects in patients with kidney stones and diabetes.It can improve surgical indicators,adjust blood glucose levels,promote the repair of renal function,and reduce the incidence of complications,residual stones and recurrence rates.