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目的探讨经尿道前列腺电切术(TURP)患者预输霍姆与血中电解质浓度变化。方法选择行TURP手术患者80例,随机分成两组,H组为实验组,手术开始后,以5 ml/kg的剂量输入霍姆溶液,15～25 min输完,C组为对照组,术中输平衡液,两组患者均采用腰硬联合麻醉,分别于手术开始输霍姆前(T0)、霍姆输入完毕(T1)、手术结束30 min(T2)抽取对侧肘静脉血检测血钾、血钠、血氯、血钙和血糖,对结果进行分析比较。结果两组间血钠、血氯浓度在T1时差异有统计学意义(P<0.05),T2后恢复相近;H组患者术中未出现经尿道电切综合征(TURS),C组发生1例TURS。结论 TURP术患者预输霍姆能有效地维持血中电解质的稳定,对TURS的发生有一定的预防作用。
Objective To investigate the changes of electrolyte in the plasma of the pre-transfused kidneys and blood in patients undergoing transurethral resection of the prostate (TURP). Methods Eighty patients undergoing TURP surgery were randomly divided into two groups. Group H was the experimental group. After the operation was started, Holm solution was delivered at a dose of 5 ml / kg and was delivered after 15-25 min. The control group The patients in both groups received the combined spinal and epidural anesthesia. Blood was collected from the contralateral cubital vein blood before the start of surgery (T0), after the Holm input (T1) and 30 minutes after the operation (T2) Potassium, sodium, blood chlorine, blood calcium and blood glucose, the results were analyzed and compared. Results There was a significant difference in serum sodium and blood chlorine concentrations between the two groups at T1 (P <0.05), and similar after T2 recovery. TURS did not occur in group H during operation, and 1 Example TURS. CONCLUSION: Precontracted HOM can effectively maintain the stability of blood electrolytes in patients with TURP, and have a preventive effect on the occurrence of TURS.