宫腔镜术后患者血糖、电解质及生命体征的变化研究  

Study on the changes of blood sugar,electrolyte and vital signs after hysteroscopic surgery

作　　者：蔡昱[1] 徐杰[1] 

机构地区：[1]湖南省中医药研究院附属医院妇科,长沙410006

出　　处：《中国性科学》2015年第4期16-18,共3页Chinese Journal of Human Sexuality

摘　　要：目的：通过研究宫腔镜术后患者血糖、电解质及生命体征的变化,以指导临床,防止手术并发症的产生。方法：选取我院妇科收治的子宫黏膜下肌瘤患者60例,年龄在50-65岁之间,实施宫腔镜电切手术,手术前后观察比较患者的血糖（Glu）、血钾（K^＋）、血钠（Na^＋）、血氯（Cl^-）、血钙（Ca^2＋）、心率（HR）、平均动脉压（MAP）。结果：（1）患者手术前后血糖水平比较：术中、术后较手术前血糖均有所升高,差异有统计学意义（P〈0.05）;且术后较术中血糖明显升高,差异有统计学意义（P〈0.05）;（2）患者手术前后电解质水平比较：与术前相比,术中及术后Na^＋、Cl^-的浓度明显降低,差异有统计学意义（P〈0.05）;术中及术后K^＋、Ca^2＋的浓度亦降低,但差异无统计学意义（P〉0.05）;（3）患者手术前后各项生命体征比较：与术前相比,术中及术后HR、MAP明显升高,且差异有统计学意义（P〈0.05）。结论：宫腔镜手术能够引起患者患者血糖升高、电解质异常、心率、血压升高等变化,临床应注意观察,防止严重并发症的产生。Objectives： To study the changes in blood sugar,electrolyte and vital signs after hysteroscopic surgery,in order to guide clinical operation and prevent the occurrence of complications. Methods： 60 patients with submucosal myoma of uterus in the obstetrics and gynecology department of our hospital,aged between 50 to 65 years old,received hysteroscopic operation. The blood glucose（ Glu）,potassium（ K^＋）,serum sodium（ Na^＋）,serum chloride（ Cl^-）,calcium（ Ca^2 ＋）,heart rate（ HR）,mean arterial pressure（ MAP） before and after operation were observed and compared. Results： ① the blood glucose level of patients before and after operation： the blood glucose increased during and after the operation,with statistically significant difference（ P〈 0. 05）; blood glucose was significantly increased after operation compared that in the operation,with statistically significant difference（ P〈 0. 05）;② the electrolyte level： the concentrations of Na^＋,Cl^-decreased significantly during and after the operation,with statistically significant difference（ P〈 0. 05）; the concentration of K^＋,Ca^2 ＋decreased also during and after the operation,but the difference was not statistically significant（ P〈 0. 05）; ③ the vital signs before and after operation：the HR,MAP increased significantly during and after the operation,with statistically significant difference（ P〈 0. 05）. Conclusion： Hysteroscopy operation can cause elevated blood glucose,electrolyte abnormalities,heart rate and high blood pressure in patients. Clinical attention should be paid to prevent serious complications.

关 键 词：宫腔镜手术 血糖 电解质 生命体征 

分 类 号：R713.4[医药卫生—妇产科学]