[摘要]目的 探讨灌洗液温度对经皮肾镜取石术(PCNL)治疗肾结石术后并发症及术后温度调节的影响。方法 选取2015年4月～2016年4月我院收治入院的70例肾结石拟行PCNL患者，采用随机数字表法分为室温组(灌洗液温度为25℃)和加热组(灌洗液温度为37℃)，各35例。观察不同温度灌洗液对两组患者腋温、血红蛋白、尿素氮、肌酐、结石清除率的影响。结果 室温组术后的温度较术前下降(1.1±0.3)℃，加热组术后的温度较术前下降(0.4±0.3)℃，加热组温度降低幅度更低，差异有统计学意义(P<0.01)；两组手术前后的平均血红蛋白、肌酐、尿素氮水平及结石清除率比较，差异均无统计学意义(P>0.05)。结论 加热灌洗液能显著改善患者的术后低体温，且对出血、肾功能及结石清除率无影响。

    [关键词]灌洗液温度；经皮肾镜；并发症；体温调节；肾结石

    [中图分类号] R692.4 [文献标识码] A [文章编号] 1674-4721(2017)08(a)-0060-03

    [Abstract]Objective To investigate the influence of lavage fluid temperature on postoperative complications and temperature regulation after percutaneous nephrolithotomy (PCNL).Methods Altogether 70 cases of renal calculus patients scheduled to perform PCNL from April 2015 to April 2016 were selected and divided into the room temperature group(lavage fluid temperature was 25℃) and the heating group (lavage fluid temperature was 37℃) by random number table method.The effect of different lavage fluid temperatures on the axillary temperature ......