中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
25期
148-150
,共3页
钠钾镁钙葡萄糖注射液%良性前列腺增生%经尿道前列腺电切术%电解质
鈉鉀鎂鈣葡萄糖註射液%良性前列腺增生%經尿道前列腺電切術%電解質
납갑미개포도당주사액%량성전렬선증생%경뇨도전렬선전절술%전해질
Sodium potassium magnesium calcium and glucose injection%Benign prostatic hyperplasia%Transurethral electroresection of the prostate%Blood electrolytes
目的：探讨钠钾镁钙葡萄糖注射液对行经尿道前列腺电切术患者电解质的影响。方法2011年3月～2014年11月间，选取60例在我院行经尿道前列腺电切手术的患者，采用随机数字表法分为两组，R 组和 S 组，R 组30例于术中输注500 ml 乳酸钠林格注射液， S 组30例在术中输注500 ml 钠钾镁钙葡萄糖注射液，分别于术前及术后抽血查电解质。结果 R 组中术后钾（P=0.60）、钠（P=0.21）下降无统计学意义，钙（P=0.00）、镁（P=0.02）下降有统计学意义（P＜0.05），术后氯（P=0.64）轻度升高，但无统计学意义；S 组中术后钾（P=0.62）、钠（P=0.08）、氯（P=0.16）、镁（P=0.13）下降无统计学意义，钙（P=0.01）下降有统计学意义（P ＜0.05）；与 R 组相比，S 组的钙、镁下降幅度更小，两组中均无经尿道电切综合征病例发生。结论在前列腺电切手术中，使用两种晶体液在维持钾钠氯稳定方面，二者作用相似，但对于维持钙镁的稳定，使用钠钾镁钙葡萄糖注射液显得更有益。
目的：探討鈉鉀鎂鈣葡萄糖註射液對行經尿道前列腺電切術患者電解質的影響。方法2011年3月～2014年11月間，選取60例在我院行經尿道前列腺電切手術的患者，採用隨機數字錶法分為兩組，R 組和 S 組，R 組30例于術中輸註500 ml 乳痠鈉林格註射液， S 組30例在術中輸註500 ml 鈉鉀鎂鈣葡萄糖註射液，分彆于術前及術後抽血查電解質。結果 R 組中術後鉀（P=0.60）、鈉（P=0.21）下降無統計學意義，鈣（P=0.00）、鎂（P=0.02）下降有統計學意義（P＜0.05），術後氯（P=0.64）輕度升高，但無統計學意義；S 組中術後鉀（P=0.62）、鈉（P=0.08）、氯（P=0.16）、鎂（P=0.13）下降無統計學意義，鈣（P=0.01）下降有統計學意義（P ＜0.05）；與 R 組相比，S 組的鈣、鎂下降幅度更小，兩組中均無經尿道電切綜閤徵病例髮生。結論在前列腺電切手術中，使用兩種晶體液在維持鉀鈉氯穩定方麵，二者作用相似，但對于維持鈣鎂的穩定，使用鈉鉀鎂鈣葡萄糖註射液顯得更有益。
목적：탐토납갑미개포도당주사액대행경뇨도전렬선전절술환자전해질적영향。방법2011년3월～2014년11월간，선취60례재아원행경뇨도전렬선전절수술적환자，채용수궤수자표법분위량조，R 조화 S 조，R 조30례우술중수주500 ml 유산납림격주사액， S 조30례재술중수주500 ml 납갑미개포도당주사액，분별우술전급술후추혈사전해질。결과 R 조중술후갑（P=0.60）、납（P=0.21）하강무통계학의의，개（P=0.00）、미（P=0.02）하강유통계학의의（P＜0.05），술후록（P=0.64）경도승고，단무통계학의의；S 조중술후갑（P=0.62）、납（P=0.08）、록（P=0.16）、미（P=0.13）하강무통계학의의，개（P=0.01）하강유통계학의의（P ＜0.05）；여 R 조상비，S 조적개、미하강폭도경소，량조중균무경뇨도전절종합정병례발생。결론재전렬선전절수술중，사용량충정체액재유지갑납록은정방면，이자작용상사，단대우유지개미적은정，사용납갑미개포도당주사액현득경유익。
Objective To investigate the effects of sodium potassium magnesium calcium and glucose injection on electrolytes in transurethral electroresection of the prostate(TURP). Methods From Mar 2011 to Nov 2014, 60 patients scheduled for elective TURP were randomly assigned to group R and group S. And 500ml of sodium locate ringer injection(in group R) or sodium potassium magnesium calcium and glucose injection(in group S) was infused during the operations. Blood electrolytes were detected before and after surgery. Results In group R, concentrations of K+(P=0.60) and Na+ (P=0.21)were decreased and concentration of Cl- (P=0.64) was increased mildly with no statistics difference, but concentrations of Ca2+ (P=0.00) and Mg2+(P=0.02)were decreased with statistics difference (P<0.05). In group S, concentrations of K+ (P=0.62), Na+ (P=0.08), Cl-(P=0.16), and Mg2+ (P=0.13) were decreased with no statistics difference, but concentration of Ca2+ (P=0.01)was decreased with statistics difference (P<0.05). The reduction of Ca2+ and Mg2+ was smaller in group S than in group R. There was no TURS occurred in both group. Conclusions Two kinds of crystal solution have similar effects on maintenance of K+, Na+and Cl- in TURP, but sodium potassium magnesium calcium and glucose injection is more beneficial in maintaining the stabilization of Ca2+ and Mg2+. It is worth the clinical promotion.
