上身摆放角度对截石位前列腺电气化术后血压变化的影响

The influence of the upper body position to the blood pressure change after taking transurethral vaporization of prostate

目的寻找适合前列腺气化电切手术截石体位的上身摆放方法,找出影响截石体位放平下肢后与患者血压改变相关的因素。方法选取符合纳入标准的患者120例,按4种不同上身体位进行随机分组,不予任何干预,记录手术结束后体位改变引起的血压变化值。结果术中患者上身体位的摆放对术后血压变化的影响基本上无差异;体重、手术时间长短、术中输入液体量、有无高血压病史与术后体位改变后血压的变化有关,而年龄、术中膀胱冲洗液量、改良截石位或传统截石位与术后体位改变后血压的变化无关。结论老年前列腺气化电切手术截石体位术后的确会引起患者血压较大的波动,建议术中取头高10°的截石位。

Objective To find out the best upper body position for patients who take the transurethral vaporization of prostate （TUVP）, and the infulence of the patient＇s blood pressure when patients change body position. Methods 120 patients were divided in to four groups. No interventions were fulfilled. The variation of blood pressure was recorded when position changed. Results The position of the patients＂ upper body during operation was relative with the blood pressure change. Body weight, the length of operation, fluid intake and hypertensive disease history have influence with the blood pressure when patients change their body position after operation. Conclusion Blood pressure change greatly when old patients take lithotomy position under TUVP. Lithotomy position with head raising 10° is the best.