摘要
[目的]评价中心静脉压(CVP)监测在高龄高危患者经尿道前列腺电切术(TUR-P)中的预防作用。[方法]将60例高龄高危患者分为两组,对照组和CVP组,均在联合阻滞下行TUR-P,术中连续测定CVP及平均动脉压、心率、血氧饱和度。当CVP>12 cmH2O时,行血气分析,并对症处理。[结果]对照组TUR-P综合征症状较重,CVP组症状轻。对照组血钠(108.5±10.3)mmol/L明显低于CVP组(125±8.7)mmol/L,P<0.05有统计学意义。[结论]对于高龄高危患者,CVP监测在TUR-P中有预防作用。
[Objective] To study the prevention effect of CVP monitoring in TUR- P of high- age high - risk patients. [Methods]Randomly divide 60 high- age high- risk patients into 2 groups, control group and CVP group. All patients undergo TUR- P under combined spinal- epidural anesthesia. CVP, MAP, HR is monitored during operation. When CVP is above 12 cmH20, blood gas analysis is made. We treat TUR- P syndrome according to the plasma Na~ concentration. [ Result] The syndrome in control group is more serious than that in CVP group. The plasma Na ＋ concentration in control group is（ 108.5±10.3） mmol/L, significantly lower than that in CVP group of （125±8.7） mmol/L. P 〈 0.05. [Conclusion] To high - age high - risk patients, CVP monitoring has a protection effect in TUR- P.
出处
《大连医科大学学报》
CAS
2006年第1期31-33,共3页
Journal of Dalian Medical University
