糖尿病患者前列腺电切术中血糖变化及对策

The Changes and Measures Against the Glucose in the Operation of the Diabetes by TURP

目的:探讨经尿道前列腺电切术中糖尿病患者血糖变化以及处理对策。方法:2006年7月～2009年1月共对80例患有前列腺增生合并糖尿病患者行TURP,同期对80例单纯性前列腺增生患者进行相同手术,回顾分析其术前、术中30 min、60 min、90 min指尖血糖变化及干预情况。结果:治疗组80例患者,51例术中血糖值明显低于术前,分别为1.8～3 mmol/L;对照组术前与术中血糖值基本一致,血糖波动于4.5～5.6 mmol/L。结论:糖尿病患者糖的储备能力差,在行经尿道电切术中易发生低血糖综合征,术中及时的血糖监测及干预对保证患者的安全有重要意义。

Objective：To study the changes and measures against the glucose in the operation of the Diabetes by TURP.Methods：Eighty patients with prostate combining diabetes operated from July 2006 to Jan.2009 were reviewed, and 80 prostate treated at the same period with the same operation measure were selected as control.The preoperative glucose,intraoperative glucose（30＇,60＇,90＇） of fingertip,and countermeasures were studied and compared between the two groups.Results：Fifty-one cases of the experimental group of intraoperative blood glucose was significantly lower than preoperative values,respectively 1.8-3 mmol/ L;control group preoperative and intraoperative blood glucose values were basically the same,blood glucose fluctuations in the 4.5-5.6 mmol/L.Conclusion：The capacity in patients with diabetes is poor,easy to hypoglycemia syndrome in the act of TURP surgery,intraoperative blood glucose monitoring and timely intervention to ensure patient safety significance.