经尿道前列腺汽化术或电切术中血糖与低钠血症的关系  

Relation Between the Blood Sugar and Plasma Sodium During TUVP and TURP

作　　者：王志英[1] 黄群连[1] 李艳君[1] 赖维湛[1] 

机构地区：[1]广东省佛山市顺德容奇医院,广东佛山528303

出　　处：《医学临床研究》2006年第3期317-318,共2页Journal of Clinical Research

摘　　要：【目的】探讨经尿道前列腺汽化术或电切术中血糖与低钠血症的关系。【方法】择期行尿道前列腺汽化术或电切术患者84例,在手术进行30～60min开始抽血化验血糖和血钠,以后每隔15min测一次。血糖>20mmol/L为明显升高组,血糖10.2～19.2mmol/L为中度升高组,血糖<10.2mmol/L为轻度或正常组,对比三组相应的血钠值。血糖>20mmol/L给速尿20mg并酌情给胰岛素。【结果】血糖明显升高组8例(占10%),其血钠为116～129mmol/L,血糖中度升高组16例(占18%),血钠有6例为130～134mmol/L,余10例正常,血糖正常或轻度升高组60例(占71%),血钠全部在正常范围内。血糖>20mmol/L时使用速尿20mg5～10min后测血糖及血钠均比用药前有明显改变(P<0.05)。【结论】经尿道前列腺汽化术或电切术中血糖与血钠成明显的负相关性,术中血糖测定可以间接预测稀释性低钠血症。[Objeetive]To evaluate the relation between the blood sugar and plasma sodium during TUVP and TURP. [Methods]Eighty-four patients undergoing TUVP or TURP were studied. The blood sugar and sodium were measured at 30 minutes after operation, then at intervals of 15 minutes. The patients were divided into 3 groups based on blood sugar. Group A（blood sugar〉20 mmol/L）, Group B（blood sugar 10.2～19.2 mmol/L）; Group C（blood sugar ,〈10. 2 mmol/L）. [Results]In Group A, there were 8 patients（10%） with plasma sodium 116～ 129 mmol/L; in Group B there were 16 patients（18%）, plasma sodium was 130 ～ 134 mmol/L in six patients,normal in others;In Group C there were 60 patients （71 % ） with normal plasma sodium. Blood sugar was significantly decreased and plasma sodium was significantly increased after intravenous injection of furosemide 20 mg after 5 ～ 10 minutes in group A. [Conclusion]Blood sugar and plasma sodium have negative correlation in TUVP and TURP. Blood sugar monitoring can inderectly deteee low plasma sodium in the operation.

关 键 词：血糖/分析 低钠血症 前列腺切除术 电外科手术 尿道/外科学 

分 类 号：R697.3[医药卫生—泌尿科学]