胸式呼吸联合腹部加压固定对泌尿系统结石体外冲击波碎石患者结石粉碎率的影响研究

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关键词：泌尿系统结石；体外冲击波碎石；胸式呼吸;腹部加压固定;结石粉碎率；生化指标；炎性因子；生活质量 中图分类号：R691.4 文献标识码：A DOI：DOI：10.3969/j.issn.1006-1959.2025.21.026

文章编号：1006-1959（2025）21-0123-05

Abstract：OetiTestiteoforaciceatgoiboalmpresoomeatite undergoingextracorporealshockwavelitotripsy（ESWL）forurinarysstemcalculiMetodsAtotalof92patientswithurinarysstealculi admitedtoJi'anCentralospitalbetwnJuary2andDecember24wereeetedndandomlyigediaandomumbebleto either a control group （ IIt 46）oranobservation group（n=46）.Thecontrol groupunderwentESWLalone，whiletheobservationgroupreceivedESWL combinedwithtacceatingnddomalompresioetoupseemparedinsofteofrmetatioateetie paraeters（iaiosl lipocalin）o factor- ∇⋅α∝ （TNF- αa ），interleukin-6（6），interleukin-8（L-8），painlevelVisualAnalogScale（VA）score]，ualityofifeWHQualityof BREF（WHOQOLBREF）dcomplicatiosResultsestonefragmentationateinteoervationgrouashgherthantatinhtol group，theopeatioisiaandoepusioieorteranootrolondtraopeiedls than that in control group （ P<0.05 ）.After14 daysof treatment，thelevelsofbiochemical indicators（NGAL，Hb，WBC，CREA，CRP）and inflammatory factors （TNF- α ，I-6，IL-8）inothoupreloertanforetrmntndtevelsofocicaidicatsndiflamatoryctosth observation group were lower than those in the control group （ P<0.05 .After14daysof treatment，theVASscoreofbothgroupswas lower than before treatment，adeOForesrhaforetreatidittVAofseatioosohaat ofthecontrolgroupandtheWHOQOL-BREFcoreashigerthanthatofthecontrolgoup（POO5）.Theincidenceofcomplicatiosinthe observation group （2.17%） ）waslower than that in the control group（ 13.04% ） P<0.05） .Conclusion Thoracic breathing combined with abdominal compresionfixationoptimizsESWLproceduralutcomesbyhancingtestoefragmentationateItprovidesposieuxiliayfectsby modulatingoaldokvechielpsi and demonstrates a high safety profile in patients.

KeyWords：UarylEracoaloeioiscigoalpoaio rate;Biochemical indicators; Inflammatory factors;Quality of life

泌尿系统结石（urinarysystemcalculi）为泌尿外科高发疾病，常伴有腹部绞痛、排尿困难、血尿等症状表现，可引发炎症及肾脏损伤，其常用治疗手段包括体外冲击波碎石（extracorporeal shockwavelithotripsy，ESWL）等，旨在粉碎结石、解除尿路梗阻，以此恢复机体指标，达到治愈目的[2]。（剩余5688字）