CAJ | 학술논문

目的：探讨术中早期预输高渗盐水在预防前列腺电切综合征中的效果。方法选取2010年6月～2012年6月于本院进行前列腺电切术治疗的166例患者为研究对象，将其随机分为对照组（常规治疗组）和观察组（术中早期预输高渗盐水组）各83例，然后将两组患者的前列腺电切综合征发生率及术前、开始手术后的30 min、60 min的循环系统和血 Na＋、K ＋、Cl-、糖、血红蛋白指标进行比较。结果观察组的前列腺电切综合征发生率低于对照组，血 Na＋、Cl-均高于对照组，有显著性差异（P＜0.01）。结论术中早期预输高渗盐水可有效降低前列腺电切综合征的发生率。
목적：탐토술중조기예수고삼염수재예방전렬선전절종합정중적효과。방법선취2010년6월～2012년6월우본원진행전렬선전절술치료적166례환자위연구대상，장기수궤분위대조조（상규치료조）화관찰조（술중조기예수고삼염수조）각83례，연후장량조환자적전렬선전절종합정발생솔급술전、개시수술후적30 min、60 min적순배계통화혈 Na＋、K ＋、Cl-、당、혈홍단백지표진행비교。결과관찰조적전렬선전절종합정발생솔저우대조조，혈 Na＋、Cl-균고우대조조，유현저성차이（P＜0.01）。결론술중조기예수고삼염수가유효강저전렬선전절종합정적발생솔。
Objective To study the effect of intraoperative early intravenous infusion of hypertonic saline in preventing transurethral prostatic resection syndrome .Methods 86 patients who were treated with transurethral resection of prostate in our hospital from June 2010 to June 2012 were selected as research object ,and they were randomly divided into control group(ringer's solution group) and observation group(intraoperative early intravenous infusion group)with 83 cases in each group ,then the transurethral prostatic resection syndrome rate and circulatory system ,blood Na+ ,K + ,blood sugar ,Cl- ,hemoglobin of two groups before and during the operation at 30 min and 60 min were compared .Results The transurethral prostatic resection syndrome rate of observation group was lower than that of control group , and blood Na+ ,Cl- were all higher than those of control group ,all P<0.01 ,there were all significant differences .Conclusion The effect of intraoperative early intravenous infusion of hypertonic saline in preventing transurethral prostatic resection syndrome is better ,and it can effectively improve related indexes .