两种不同温度灌洗液在选择性前列腺绿激光汽化术中的应用及效果观察

The application and effect of the two irrigating solutions with different temperatures in PVP

目的探讨两种不同温度的灌洗液在前列腺选择性绿激光汽化术(PVP)中的应用及效果观察。方法对110例PVP患者随机分为实验组55例和对照组55例。对照组术中用室温(22～23℃)生理盐水灌洗液,实验组用恒温机加温至接近人体温度(37℃)的生理盐水冲洗液,观察两组患者术中膀胱痉挛及寒战的发生率。结果两组寒战发生率比较差异有统计学意义(P<0.01),膀胱痉挛发生率比较差异有统计学意义(P<0.01)。结论术中使用加温灌洗液使体温、血压、心率稳定,可减少前列腺选择性绿激光汽化术患者术中寒战和膀胱痉挛的发生。

Objective： To discuss the application and effect of the two irrigating solutions with different temperatures in PVP.Methods： The 110 patients were divided randomly and equally into two groups,the experimental group（E group）and the control group（C group）.The E group received physiological saline of room temperature as the irrigating solution,and the E group had the irrigating solution approaching the human body temperature which was warmedby temperature machine,in order to observe the intra-operational incidence of cystospasm and shiver.Results： Two groups of the incidence of cystospasm and shiver had a statistically significant difference（P〈0.01）.Conclusion： Using the warming irrigating solution in the operation can reduce the intra-operational incidence of cystospasm and shiver by making a steady state of patient＇s temperature,blood pressure and heart rate.