四川医学
四川醫學
사천의학
SICHUAN MEDICAL JOURNAL
2014年
10期
1319-1321
,共3页
碎石术%膀胱冲洗%心率变异性%输尿管结石%钬激光
碎石術%膀胱遲洗%心率變異性%輸尿管結石%鈥激光
쇄석술%방광충세%심솔변이성%수뇨관결석%화격광
lithotripsy%bladder irrigation%heart rate variability%ureteral calculi%holmium laser
目的：研究经输尿管镜下钬激光碎石术中加温冲洗液对心率变异性的影响。方法选取硬膜外麻醉下行TURP术患者60例,分为两组。试验组(Ⅰ组)为冲洗液加温组,对照组(Ⅱ组)为未加温组。分别观察记录患者在麻醉前(T0)、麻醉后15min(T1)、手术开始后5min(T2)、手术开始后10min(T3)、手术结束后5min(T4)的5个时段患者的TF (total frequency)、低频功率(low frequency,LF)、高频功率(high frequency,HF)、LF/HF。结果组内：HRV的T1、T2、T3、T4与T0比较,差异有统计学意义(P<0．05)；LF/HF、LF、HF的T2、T3与T0比较,差异有统计学意义(P<0．05)；其它时间点之间相比无差异。组间：Ⅱ组与Ⅰ组LF/HF、LF、HF的T 2、T 3相比,差异有统计学意义( P<0．05)；其余时间点无明显差异。结论冲洗液加温可以影响经输尿管镜下钬激光碎石术患者术中的心率变异性,减少循环系统并发症。
目的：研究經輸尿管鏡下鈥激光碎石術中加溫遲洗液對心率變異性的影響。方法選取硬膜外痳醉下行TURP術患者60例,分為兩組。試驗組(Ⅰ組)為遲洗液加溫組,對照組(Ⅱ組)為未加溫組。分彆觀察記錄患者在痳醉前(T0)、痳醉後15min(T1)、手術開始後5min(T2)、手術開始後10min(T3)、手術結束後5min(T4)的5箇時段患者的TF (total frequency)、低頻功率(low frequency,LF)、高頻功率(high frequency,HF)、LF/HF。結果組內：HRV的T1、T2、T3、T4與T0比較,差異有統計學意義(P<0．05)；LF/HF、LF、HF的T2、T3與T0比較,差異有統計學意義(P<0．05)；其它時間點之間相比無差異。組間：Ⅱ組與Ⅰ組LF/HF、LF、HF的T 2、T 3相比,差異有統計學意義( P<0．05)；其餘時間點無明顯差異。結論遲洗液加溫可以影響經輸尿管鏡下鈥激光碎石術患者術中的心率變異性,減少循環繫統併髮癥。
목적：연구경수뇨관경하화격광쇄석술중가온충세액대심솔변이성적영향。방법선취경막외마취하행TURP술환자60례,분위량조。시험조(Ⅰ조)위충세액가온조,대조조(Ⅱ조)위미가온조。분별관찰기록환자재마취전(T0)、마취후15min(T1)、수술개시후5min(T2)、수술개시후10min(T3)、수술결속후5min(T4)적5개시단환자적TF (total frequency)、저빈공솔(low frequency,LF)、고빈공솔(high frequency,HF)、LF/HF。결과조내：HRV적T1、T2、T3、T4여T0비교,차이유통계학의의(P<0．05)；LF/HF、LF、HF적T2、T3여T0비교,차이유통계학의의(P<0．05)；기타시간점지간상비무차이。조간：Ⅱ조여Ⅰ조LF/HF、LF、HF적T 2、T 3상비,차이유통계학의의( P<0．05)；기여시간점무명현차이。결론충세액가온가이영향경수뇨관경하화격광쇄석술환자술중적심솔변이성,감소순배계통병발증。
Objective Under study by the Holmium laser lithotripsy in warm liquid rinse affect heart rate variability. Methods Selected 60 cases of epidural anesthesia in patients undergoing TURP, divided into two groups. Experimental group(Ⅰgroup) was heated fluid group and the control group(Ⅱ group) was not warmed group. Patients were observed and recorded before anesthesia(T0), after anesthesia 15min(T1), after the beginning of surgery 5min(T2), the operation starts after 10min(T3), 5minutes after the end of surgery(T4)of the period of five patients TF(total frequency), the low-frequency power(1ow frequency, LF), high frequency power(high frequency, HF), LF / HF. Results Group: HRV of T1, T2, T3, T4 comparison, significant difference with T0(P<0. 05);LF / HF, LF, HF's T2, T3 comparison, significant difference with T0(P<0. 05);other no signifi-cant differences between time points compared. Between the two groups:T2, T3 compared, difference between groupⅠandⅡLF /HF, LF, HF statistically significant(P<0. 05);no significant difference in the remaining time. Conclusion Heating fluid can af-fect the holmium laser lithotripsy by ureteroscopy in patients undergoing lower heart rate variability, reducing the circulatory system complications.
