中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
3期
69-70
,共2页
经尿道前列腺切除术%中心静脉压%前列腺电切综合征
經尿道前列腺切除術%中心靜脈壓%前列腺電切綜閤徵
경뇨도전렬선절제술%중심정맥압%전렬선전절종합정
Transurethral resection of prostate%Central venous pressure%Transurethral resection syndrome
目的：探讨经尿道前列腺切除术中监测中心静脉压(CVP)临床应用价值。方法：随机将96例行TURP患者分为两组，每组48例。全部患者采用椎管内麻醉，将静脉留置针置入肘正中静脉，观察组术中监测中心静脉压、平均动脉压、心率以及血氧饱和度，对照组则不进行监测中心静脉压。当中心静脉压＞12 cmH2O时，采用血气分析等并发症处理措施。结果：对照组水中毒等并发症较为严重，观察组临床症状较轻。对照组血钠(109.7±9.2)mmol/L显著低于观察组的(126.4±8.1)mmol/L，两组比较差异有统计学意义(P＜0.05)。结论：在尿道前列腺切除术中监测中心静脉压，能够有效避免水中毒等并发症，值得在临床上推广应用。
目的：探討經尿道前列腺切除術中鑑測中心靜脈壓(CVP)臨床應用價值。方法：隨機將96例行TURP患者分為兩組，每組48例。全部患者採用椎管內痳醉，將靜脈留置針置入肘正中靜脈，觀察組術中鑑測中心靜脈壓、平均動脈壓、心率以及血氧飽和度，對照組則不進行鑑測中心靜脈壓。噹中心靜脈壓＞12 cmH2O時，採用血氣分析等併髮癥處理措施。結果：對照組水中毒等併髮癥較為嚴重，觀察組臨床癥狀較輕。對照組血鈉(109.7±9.2)mmol/L顯著低于觀察組的(126.4±8.1)mmol/L，兩組比較差異有統計學意義(P＜0.05)。結論：在尿道前列腺切除術中鑑測中心靜脈壓，能夠有效避免水中毒等併髮癥，值得在臨床上推廣應用。
목적：탐토경뇨도전렬선절제술중감측중심정맥압(CVP)림상응용개치。방법：수궤장96례행TURP환자분위량조，매조48례。전부환자채용추관내마취，장정맥류치침치입주정중정맥，관찰조술중감측중심정맥압、평균동맥압、심솔이급혈양포화도，대조조칙불진행감측중심정맥압。당중심정맥압＞12 cmH2O시，채용혈기분석등병발증처리조시。결과：대조조수중독등병발증교위엄중，관찰조림상증상교경。대조조혈납(109.7±9.2)mmol/L현저저우관찰조적(126.4±8.1)mmol/L，량조비교차이유통계학의의(P＜0.05)。결론：재뇨도전렬선절제술중감측중심정맥압，능구유효피면수중독등병발증，치득재림상상추엄응용。
Objective:To explore the clinical application value of monitoring central venous pressure in transurethral resection of prostate.Methods:96 patients with TURP were randomly divided into two groups with 48 cases in each.All patients were given intraspinal anesthesia,and the venous indwelling needle was placed into median cubital vein.The central venous pressure,mean arterial pressure,heart rate and blood oxygen saturation of patient in the observation group during operation were monitored.The patients in the control group were not given monitoring central venous pressure.When central venous pressure was more than 12 cmH2O,the blood gas analysis and other symptomatic treatment measures were given.Results:The complications such as water intoxication of the control group were more serious,and the clinical symptoms of the observation group were lighter.The serum sodium (109.7±9.2)mmol/L of the control group was significantly lower than (126.4±8.1)mmol/L of the observation group,and there was significant difference between two groups(P<0.05).Conclusion:Monitoring central venous pressure in transurethral resection of prostate can effectively avoid water poisoning and other complications,and it is worth of popularization and application in clinical.
