本文介绍了对口支援城乡基层卫生工作采取的集团化医疗模式、专科诊疗分中心模式、定点医院指导模式、紧密型团队托管模式和人员跨院轮转模式等五种模式,结合我院实践具体介绍了这五种模式的基本含义、主要做法和实施成效,并提出卫生行政部门应对对口支援工作进行横纵两个维度的统筹规划,对口支援双方要在学科考评和双向转诊上坚持互惠互利原则,以及对口支援工作在增强驱动力、整合优势资源、健全分级诊治和完善卫生信息网络等方面既是挑战也是机遇的观点.%Objective To explore the risk factors and preventive measures of the fever patients after percutaneous nephrolithotomy (PCNL). Methods The clinical data of 380 patients undergoing PCNL were analyzed retrospectively, then the Logistic regression model was used to analyze the impact factors of fever after PCNL. Results The urinary tract infection, acute obstruction, stone size, perfusion fluid volume, operative bleeding and operative time were all statistically significant by the results of single factor analysis of Logistic regression model (all P < 0.05), while the factors of age, gender were not (all P > 0.05). Preoperative urinary tract infection, stone size, operative time and operative bleeding were statistically significant by multiple factors analysis of Logistic regression model (P < 0.05). Conclusion With reoperative urinary tract infection, big stone, long operative time and large bleeding volume, patients are more susceptible to have postoperative infection fever. To control the above factors, using antibacterial agents, controlling operation time and standardizing surgical procedures can effectively prevent the fever after PCNL.
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