TURP术中霍姆对人体生理影响的研究

The Study of Hypertonic Sodium Chloride Hydroxylethyl Starch 40 on Patients with TURP

目的:研究TURP术中霍姆对人体CVP、Na、Cl、Ca、Hb、Hct等生理指标的影响。方法:选择TURP手术患者60例,随机分A、B两组各30例,A组为输霍姆组(250ml),B组为输林格氏液组,观察两组间一般生命体征及CVP、Na、Cl、Ca、Hb、Hct的差异。既记录手术前(T0)、手术开始输霍姆前(T1)、霍姆输入完毕(T2)、输入霍姆后90min(T3)的结果进行分析比较。结果:两组间Na、Cl、Ca、Hb、Hct在T2时有显著差异,T3后恢复相近。结论:TURP术中输霍姆250ml可有效地防止TURS並发症的发生,有利于人体生理稳定。

Objective： To study the influence of hypertonic sodium chloride hydroxylethyl starch 40 （HSH 40）on CVP, Na,Cl,Ca, Hb, Hct in patients with transurethral resection of the prostate （TURP）. Method： 60 patients with TURP were divided into group A and B in random. Group A, 30 cases, were treated with HSH 40 250ml; Group B, 30 cases, were treated with Ringer＇s solution. Life vital signs, CVP,Na, Cl,Ca,Hb and Het were measured before operation（T0） , before infusion（T1） and at the end of infusion （T2） , 90 min（T3） after infusion. Result： Na,Cl,Ca,Hb,Hct in two groups were significantly difference, showed no difference after T3. Conclusion： Using HSH 40 250ml in TURP can prevent transurethral resection syndrome （TURS） , help to remain stable electrolytes.