体位改变对前列腺切除术老年患者循环呼吸功能的影响

Effect of posture alteration on circulatory and respiratory function with elderly patients under transurethral prostactomy

目的探讨体位干预在经尿道前列腺切除术(TURP)中对老年患者循环呼吸功能的影响。方法将120例行TURP且年龄>60岁的老年患者随机分为两组,每组各60例,对照组术中采用常规的膀胱截石位,干预组在手术中采用不同的体位,监测各组心率(HR)、无创血压(NBP)、心电图(ECG)、动脉血氧饱和度(SPO2)及临床症状。结果对照组血压波动明显大于干预组,心电图异常、低SPO2发生率明显高于干预组,差异有统计学意义(P<0.05),同时胸闷、气促、心慌发生率也高于干预组。结论体位干预在一定程度上可以预防或减轻TURP对老年患者循环呼吸功能的影响,提高手术的安全性。

Objective To observe the effect of posture alteration on circulatory and respiratory system of elderly patients under transurethral prostatectomy（TURP）.Methods 120 elderly patients scheduled for transurethral prostatectomy were randomly divided into 2 groups： control group with lithotomy position and experimental group with posture alteration during the operation.The heart rate（HR）,noninvasive blood pressure（NBP）,electrocardiogram（ECG）,pulse oxygen saturation（PaO2） and clinical symptoms were recorded.Results In control group,blood pressure changes,incidence rate of ECG and lower SPO2 were increased comparing with experimental group（P〈0.05）.Incidence rate of chest discomfort,shortness of breath and palpitations in experimental group was higher than control group（P〈0.05）.Conclusion Posture alteration can prevent or relieve the instability on elderly patients’ circulatory and respiratory function under TURP,and increase reliability during operation.