中心静脉压监测在高龄高危患者经尿道前列腺电切术中对水中毒的预防作用

Prevention effect of CVP monitoring in TUR-P of high-age high-risk patients

关键词:  CVP  高龄高危  TUR-P

Key words:  CVP  high-age high-risk  TUR-P

摘要:

［目的］ 评价中心静脉压(CVP)监测在高龄高危患者经尿道前列腺电切术(TUR-P)中的预防作用。 ［方法］ 将60例高龄高危患者分为两组，对照组和CVP组，均在联合阻滞下行TUR-P，术中连续测定 CVP及平均动脉压、心率、血氧饱和度。当CVP>12 cmH2O时，行血气分析，并对症处理。［结果］ 对照组TUR-P综合征症状较重，CVP组症状轻。对照组血钠（108.5±10.3）mmol/L明显低于CVP组（125±8.7） mmol/L，P<0.05有统计学意义。［结论］ 对于高龄高危患者，CVP监测在TUR-P中有预防作用。

Abstract:

［Objective］ To study the prevention effect of CVP monitoring in TUR-P of high-age high-risk patients. ［Methods］Randomly divide 60 high-age high-risk patients into 2 groups,control group and CVP group. All patients undergo TUR-P under combined spinal-epidural anesthesia. CVP, MAP, HR is monitored during operation. When CVP is above 12 cmH2O, blood gas analysis is made. We treat TUR-P syndrome according to the plasma Na+ concentration. ［Result］ The syndrome in control group is more serious than that in CVP group. The plasma Na+ concentration in control group is(108.5±10.3)mmol/L, significantly lower than that in CVP group of (125±8.7) mmol/L. P<0.05. ［Conclusion］ To high-age high-risk patients, CVP monitoring has a protection effect in TUR-P.