经尿道等离子前列腺剜除术对患者血流动力学及血生化指标的影响

Effects of Transurethral Plasma Prostatectomy on Hemodynamics and Blood Biochemical Parameters of Patients

目的比较经尿道等离子前列腺剜除术(TUPKEP)与经尿道前列腺切除术(TURP)术对血流动力学及血生化的影响。方法选择2017年7月~2019年8月我院收治的60例良性前列腺增生患者,按照随机数字表法分为TUPKEP组和TURP组,每组30例。比较两组切除组织重量及手术时间,手术前及手术20、40、60 min时的血氧饱和度(SpO2)、心率(HR)、平均动脉压(MAP),术前、术后动脉血pH、Na+、K+、C1-、(剩余碱)BE。结果TUPKEP组切除组织重量为(29.60±9.41)g,多于TURP组的(20.10±5.44)g,差异有统计学意义(P<0.05);两组手术时间比较,差异无统计学意义(P<0.05);TUPKEP组术后Na+为(139.17±4.26)mmol/L,高于TURP组的(134.32±6.79)mmol/L(P<0.05);两组手术前及手术20、40、60 min的SpO2、HR、MAP,术前、术后动脉血pH、K+、C1-、BE比较,差异无统计学意义(P>0.05)。结论与TURP相比,TUPKEP对患者血流动力学及血生化指标影响更小,灌注液吸收更少,手术效率高、切除组织更彻底。

Objective To compare the effects of transurethral plasma prostatectomy(TUPKEP)and transurethral prostatectomy(TURP)on hemodynamics and blood biochemistry.Methods Sixty patients with benign prostatic hyperplasia treated in our hospital from July 2017 to August 2019 were selected and divided into the TUPKEP group and the TURP group according to the random number table method,with 30 cases in each group.comparison of tissue weight and time of operation in the two groups.Oxygen saturation(SpO2),heart rate(HR),mean arterial pressure(MAP),preoperative and postoperative arterial blood pH、Na+、K+、C1-,and(residual alkali)BE before and at 20,40,60 min of surgery.Results The weight of the resected tissue in the TUPKEP group was(29.60±9.41)g,which was more than the(20.10±5.44)g in the TURP group,the difference was statistically significant(P<0.05).There was no significant difference in surgical time between the two groups(P<0.05);postoperative sodium ion in the TUPKEP group was(139.17±4.26)mmol/L,which was higher than that in the TURP group(134.32±6.79)mmol/L(P<0.05);There was no significant difference in SpO2,HR,MAP,and arterial blood pH,K+,C1-,and BE before and after surgery at 20,40 and 60 min between the two groups(P>0.05).Conclusion Compared with TURP,TUPKEP has less influence on hemodynamics and blood biochemical parameters,less absorption of perfusion fluid,higher surgical efficiency and more complete tissue removal.