摘要
目的 探讨采用血糖和血钠监测技术预防宫腔镜电切手术中经前列腺电切综合征（transurethral resection of prostate syndrome,TURP）的效果.方法 采用目的抽样法选择46例子宫良性病变患者,以5％葡萄糖作为灌流液行宫腔镜电切术,术前、术中监测患者血糖、血液生化指标及出入量差值.结果 患者手术后血糖较术前升高,血钠离子浓度下降,手术前后差异有统计学意义（P＜0.05）;术中监测发现高血糖伴低钠血症1例,在及时对症处理之后,避免了病情发展到严重程度.结论 在宫腔镜电切手术中进行熟练有效的医护配合及合理的血糖和血钠监测,可早期发现血糖异常升高并及时采取措施,能有效预防TURP综合征的发生.
Objective To investigate the clinical effects of preventing transurethral resection of prostate syndrome（TURP） by monitoring blood glucose and serum sodium during hysteroscopic electrosurgery.Methods Forty-six patients with benign uterine conditions were enrolled in our study with objective sampling method.5% dextrose was used as irrigating fluid for the hysteroscopic resection in these patients.Blood glucose,biochemical indicator and the differences of liquid intake and output volume were monitored before and during the surgery.Results After operation,the level of blood glucose in all patients had increased,but serum sodium decreased,both of which showed significant differences compared with pre-operative （P 〈 0.05）.One case of hyperglycemia and hyponatremia was detected during the operation.After the effective and symptomatic treatment,the condition of the patients was improved and the dangerous situation was avoided.Conclusions It is effective to find the abnormal increase of blood glucose and take measures in order to prevent TURP syndrome by the effective cooperation of doctors and nurses and monitoring blood glucose and serum sodium during hysteroscopic electrosurgery.
出处
《中华现代护理杂志》
2016年第11期1499-1502,共4页
Chinese Journal of Modern Nursing
基金
首都临床特色基金（Z131107002213082）
关键词
血糖
血钠
宫腔镜手术
TURP综合征
监测
预防
手术配合
Blood glucose
Serum sodium
Hysteroscopy
Transurethral resection of prostate syndrome
Monitoring
Prevention
Operative cooperation
