目的 从血液流变学角度探讨经尿道前列腺电切术(TURP)患者围术期的管理。方法 择期行TURP手术32例,于术前、术中、术毕和术后4 h,抽取静脉血检测血液流变学各项指标。结果 低切粘度、血浆粘度、低切还原粘度、中切还原粘度在术毕和术后4 h时比术前显著升高;术中、术毕、术后4 h与术前比较,红细胞刚性指数增高,变形指数下降。结论 TURP围术期应注意降低血液粘度、保护红细胞。 Objective To investigate the perioperative management of transurethral resection of prostate (TURP) from the perspective of hemorheology. Methods TURP was performed in 32 cases undergoing elective surgery. Venous blood samples were collected for blood rheology at preoperative, intraoperative, postoperative and 4 h postoperatively. Results Low shear viscosity, plasma viscosity, low shear reduction viscosity and mid-cut reduction viscosity were significantly higher than those before operation at 4 h after operation and at 4 h after operation. Comparing with those before operation, at 4 h after operation, the RBC rigidity Index increased, the deformation index decreased. Conclusion TURP perioperative attention should be paid to reduce blood viscosity and protect red blood cells.