A Study On The Safety And Effectiveness Of Pain Management For Anxiety And Depression Patients Treated By Alprazolam After Total Hip Arthroplasty

Objective::This study reviewed the clinical practices of The ureteroscope operation in the Chinese Traditional Medicine of the Shehong Hospita Urology,through the flexible ureteroscope holmium laser lithotripsy between antegrade and retrograde strategy urinary calculi efficacy,postoperative complications and prognosis of the patients in the comparative study,validate the feasibility of antegrade and retrograde ureteroscope holmium laser lithotripsy clinical implementation in primary hospital and the curative effect and indications of two operation methods.A comparative study of team multiplayer operation and single independent operation was conducted to explore the clinical feasibility and advantages and disadvantages of two ways of holmium laser operation under ureteroscope.The stone diameter between different patients were analyzed retrospectively.The comprehensive discussion on Technology in basic level hospitals in the use of strategies and risk control measures,provide a theoretical basis and clinical basis for the optimization of the technology treatment stage in basic hospital improvement..Methods:(1)The patients were randomly divided into 3 groups,which were designated as A,B,C group,A groupadopted the anterograde flexible ureteroscopic holmium laser lithotripsy,and the single operation process of B group adopted retrograde lithotripsy;ureteroscope lithotripsy surgery by single operation process;group C took antegrade ureter soft endoscopic surgery the process of operation,crushed by the people in the team;(2)The general data of each group were studied.The indexes were sex,age,body mass,course of disease and the diameter of stone;(3)The curative effect of holmium laser lithotripsy under anterograde and retrograde ureteroscope was compared.The indexes of operation were success rate of operation,complication rate,1 stage stone clearance rate,operative bleeding rate and C-reactive protein content;(4)In the use of the anterograde flexible ureteroscopic holmium laser lithotripsy under the condition that the comparison team many people take turns operating single gravel and independent operation of the treatment effect,investigation index operation success rate,complication rate,1 stone clearance rate,postoperative bleeding and the incidence of C-reaction protein content;(5)The comparison of the effect of ureteroscopy for patients with different diameters: the success rate of the operation,the incidence of complications,and the 1 stage stone clearance.Result:(1)On the Sex ratio analysis in general data,between A and B group(X2=0.0741,p=0.7855,A)and group C(X2=0.0173,p=0.8954)between the difference was not statistically significant;in age,body mass index,course of disease,also the differences between groups was not statistically significant(P> 0.05);(2)In contrast,the effect of antegrade retrograde ureteroscope lithotripsy,B group in direct surgical complications in 6 patients,the incidence rate of 31.58%,higher than that of A group,which were statistically significant differences between them(X2=5.262,p=0.0176);group B patients with hemorrhage in 3cases,surgical bleeding rate was 15.79%,lower than the in A group,the difference was statistically significant and between the two(X2=4.607,p=0.0318);(3)Many people in the team take turns operating gravel and the effect of treatment on single independent operation,A group of patients with surgical success in 19 patients,the success rate of operation was 90.48%,higher than 90% in group C,but the difference was not statistically significant(X2=0.226,p=0.6347);group C 1 stone clearance rate was 90%,higher than that of A group the 76.19%,but the difference was not statistically significant(X2=0.577,p=0.4476).The preoperative fatigue score of group A was 4.74 + 1.14mg/L,which was higher than that of group C,2.37 + 0.74mg/L,and the difference between them was statistically significant(t=8.254,p=0.0354).In the degree of forearm fatigue,group A was 3.86 + 0.95mg/L,higher than that of group C,1.71+ 1.02mg/L,and the difference between them was statistically significant(t=6.578,p=0.0451);(4)In the retrospective analysis of ureteroscope surgical treatment in patients with different diameters on the stonediameter 15-20 mm 1 stone clear in 14 patients,the surgical removal rate was 77.78%,higher than the stone diameter of group 20-25 mm was36.36%,the difference was statistically significant(X2=4.974,p=0.0257);(5).Conclusion:(1)For patients with upper urinary tract calculi,there is no significant difference in the success rate of operation and the effect of the 1 stage stone clearance between MPCNL and URL.However,it can better reduce operative complications and surgical trauma to patients,and is more conducive to postoperative rehabilitation.Patients should also take into account the comprehensive comparison of the factors such as the amount of bleeding,the cost of treatment,and so on,when the operation is chosen;(2)Many people take turns operating strategies in the antegrade ureteral soft mirror lithotripsy has good curative effect for the treatment of upper urinary calculi,maneuverability,can relieve fatigue performer in the process of operation is good;(3)The basic hospital for the diameter of 10-20 mm stones has high efficiency gravel effect and a higher 1 phase success rate,but for 20-25 mm diameter stone treatment effect is not satisfactory.