CAJ | 학술논문

目的分析经尿道前列腺汽化电切术(TUVP)术中静脉滴注3%氯化钠溶液在预防稀释性低钠血症的作用.方法对85例有明显排尿症状的良性前列腺增生(BPH)患者分成两组行TUVP术,对照组38例术中静脉滴注林格液(3ml/min).浓钠组47例,术中静脉滴注3%氯化钠溶液(2～4ml/min).手术均采用Wolf电切系统,手术时间均≥60min.术前及术时60min测定血常规和电解质,并对两组所测得的数据进行对照分析.结果浓钠组在术时60min时血钠下降值(1.45±5.14)mmol/L,下降幅度显著低于对照组[下降值(7.79±6.64)mmol/L,P<0.05].结论 TUVP术中静滴3%氯化钠溶液可降低稀释性低钠血症的程度,延缓严重低钠血症的发生,从而降低发生经尿道电切综合征(TURS)的风险.
목적 분석경뇨도전렬선기화전절술(TUVP)술중정맥적주3%록화납용액재예방희석성저납혈증적작용.방법 대85례유명현배뇨증상적량성전렬선증생(BPH)환자분성량조행TUVP술,대조조38례술중정맥적주림격액(3ml/min).농납조47례,술중정맥적주3%록화납용액(2～4ml/min).수술균채용Wolf전절계통,수술시간균≥60min.술전급술시60min측정혈상규화전해질,병대량조소측득적수거진행대조분석.결과 농납조재술시60min시혈납하강치(1.45±5.14)mmol/L,하강폭도현저저우대조조[하강치(7.79±6.64)mmol/L,P<0.05].결론 TUVP술중정적3%록화납용액가강저희석성저납혈증적정도,연완엄중저납혈증적발생,종이강저발생경뇨도전절종합정(TURS)적풍험.
Objective To analyze the effect of intravenous dripping of 3% sodium chloride solution on prevention of diluted hyponatremia during transurethral vaporization of the prostate (TUVP). Methods Eighty-five cases with benign prostatic hyperplasia (BPH) accompanied with typical lower urinary tract symptoms (LUTS) were divided into two groups during undergoing TUVP operation: the control group(n=38) given Ringer's solution dripping (3ml/min) and the concentrated sodium chloride injection group(n= 47) given 3% sodium chloride solution dripping (2～4ml/min). All of the operations were taken via Wolf electric resection system, and the operation time was≥60 min. The complete blood count and serum electrolyte were determined before operation and 60 minutes after operation beginning, and the data were compared between the two groups. Results The decrease amplitude of serum sodium was obviously smaller in concentrated sodium chloride injection group[(1.45±5.14)mmol/L] than that in the control group[(7.79±6.64) mmol/L] 60 minutes after operation beginning (P<0.05). Conclusions Giving 3% sodium chloride solution by intravenous drip during TUVP may reduce the severity of diluted hyponatremia and postpone the occurrence of hyponatremia, and thereby decrease the risk of transurethral resection syndrome.