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目的 探讨术中快速血糖监测预测经尿道前列腺汽化电切术 (TUVP)术中尿道电切综合征 (TURS)的临床效果。 方法 对 16 8例前列腺增生症患者行TUVP ,以 5 %葡萄糖作灌注液 ,术前、术中每隔 15min及术后查血糖、血钠 ,分析血糖水平升高程度与TURS发生的关系。 结果 血糖升高的程度与血钠下降幅度成正比。术中血糖显著升高 4例 ,均出现TURS( 2 .38% ) ;轻微升高 13例 ,均发生TURS先兆 ( 7.74 % ) ,经及时处理 ,均治愈出院。随访 3～ 11个月 ,恢复良好。TURS患者血糖上升幅度大于 10mmol/L或血糖水平超过 15mmol/L出现TURS的可能性明显增加。 结论 术中快速血糖监测预测TUVP术中TURS的发生具有灵敏、准确、快速、方便等优点。通过监测术中血糖的改变能及时发现TURS先兆并有效减少TURS的发生。
Objective To investigate the clinical effect of rapid blood glucose monitoring in the prediction of TURS during transurethral vaporization of the prostate (TUVP). Methods TUVP was performed in 168 cases of benign prostatic hyperplasia patients. Perfusion of 5% dextrose was performed in patients with benign prostatic hyperplasia. Preoperative and postoperative 15min and postoperative blood glucose and serum sodium were measured respectively. The relationship between blood glucose level and the occurrence of TURS was analyzed. The results of the degree of elevated blood glucose and serum sodium is proportional to the rate of decline. TURS (2.38%) was found in all the patients during the operation, and TURS (7.74%) occurred in 13 cases. The patients were cured and discharged. Followed up for 3 to 11 months and recovered well. TURS patients with blood glucose increased by more than 10mmol / L or blood glucose levels over 15mmol / L TURS increased the possibility of a significant increase. Conclusion Intraoperative rapid glucose monitoring predicts the occurrence of TURS in TUVP with the advantages of being sensitive, accurate, rapid and convenient. By monitoring the intraoperative blood glucose changes can be timely detection of TURS precursor and effectively reduce the occurrence of TURS.