宫腔镜电切术监测中心静脉压和血钠对预防TURP综合征的意义

发布时间：2018-12-13 14:57

【摘要】：目的探讨宫腔镜电切术中监测中心静脉压、血钠对预防TURP综合征的临床意义。方法收集宫腔镜电切手术患者62例,年龄22~53岁,随机分成电解质灌流(A组)和非电解质灌流(B组)两组,两组间患者年龄、手术时长、灌注压力及灌注量均差异无统计学意义(P0.05),严密监测术前、术中、术毕中心静脉压及血钠值变化。结果通过术前、术中及术毕比较,A、B两组中心静脉压变化各自分析比较差异均有统计学意义(P0.05);但两组间比较,差异无统计学意义(P0.05)。A组血钠值变化重复分析差异无统计学意义(P0.05);B组血钠值变化重复分析差异有统计学意义(P0.05);A、B两组间比较差异有统计学意义(P0.05)。结论密切动态监测中心静脉压和血钠变化,可以作为宫腔镜电切术中临床预防TURP综合征的重要参考指标。
[Abstract]:Objective to investigate the clinical significance of monitoring central venous pressure and blood sodium during hysteroscopic electroresection to prevent TURP syndrome. Methods Sixty-two hysteroscopic electrosurgical patients, aged 22 to 53 years, were randomly divided into two groups: electrolyte perfusion group (group A) and non-electrolyte perfusion group (group B). There was no significant difference in perfusion pressure and perfusion volume (P0.05). The changes of central venous pressure and blood sodium were closely monitored before and during operation. Results there were significant differences in the changes of central venous pressure between the two groups before, during and after operation (P0.05). But there was no significant difference between the two groups (P0.05). A group blood sodium value change repeat analysis difference was not statistically significant (P0.05); B group blood sodium value change repeat analysis difference was statistically significant (P0.05); There was significant difference between the two groups (P0.05). Conclusion close dynamic monitoring of central venous pressure and blood sodium may be an important reference index for clinical prevention of TURP syndrome during hysteroscopic electroresection.
【作者单位】：江西省人民医院妇科;南昌大学医学院;彭泽县妇幼保健院妇科;
【基金】：江西省卫生计生委科技计划项目(编号:20165075)
【分类号】：R713

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