Abstract
Objective To evaluate the value of Bioz.com in the early diagnosis and treatment of (TURS) in patients with transurethral resection of prostate (TURP) .Methods 30 patients with TURP in our hospital were selected and treated with combined spinal-epidural anesthesia.The heart rate (HR) , systolic pressure (SBP) , diastolic pressure (DBP) , stroke volume (SV) , body vascular resistance (SVR) , hydrothorax component (TFC) and arterial blood Na+, K+, Hb, Hct concentration were recorded before and after anesthesia (T0) and post-anesthesia (T1) , lavage fluid volume 3000 ml (T2) , lavage fluid 6000 ml (T3) , lavage fluid 9000 ml (T4) , lavage fluid 12000 ml (T5) , lavage fluid 15000 ml (T6) , lavage fluid 18000 ml (T7) .Record the occurrence of TURS.Results Compared with T0, HR increased during T1～T7 (P＜0. 05) , and SBP and DBP decreased most significantly at T1 (P＜0.05) .Na+, Hb, Hct decreased gradually during T2～T7 (P＜0. 05) while K+gradually increased (P＜0.05) .SV increased gradually (P＜0.05) , and SVR decreased gradually (P＜0.05) , the change at T1 was the most obvious.During T2～T7, TFC increased gradually (P＜0.05) .Compared with T1, HR decreased gradually at T2～T7 (P＜0.05) .SBP and DBP gradually increased (P＜0.05) ; Na+, Hb, Hct decreased, K+gradually increased (P＜0. 05) .SV increased gradually (P＜0.05) , SVR decreased gradually (P＜0.05) , TFC gradually increased (P＜0.05) .Linear correlation analysis showed that SV was negatively correlated with Na+ (r =0.948, P＜0.01) , and positively correlated with K+ (r=0. 969, P＜0. 01) , negatively correlated with Hb (r=-0.976, P＜0.01) .negatively correlated with Hct (r =-0.973, P ＜0.01) .TFC was negatively correlated between and Na+ (r =0.980, P ＜0.01) , positively correlated with K+ (r =0.996, P ＜0.01) , negatively correlated with Hb (r =-0.995, P ＜0.01) , and negatively correlated with Hct (r =0.-997, P ＜0.01) .No TURS occurred in all patients. Conclusion Continuous monitoring of hemodynamic changes with Bioz.com is helpful to prevent the occurrence of TURS in early stage by non-invasive method.关键词
Bioz.com/经尿道前列腺电切术/电切综合征/无创血流动力学Key words
Bioz.com/Transurethral resection of prostate/Electroresection syndrome/Noninvasive hemodynamics分类
医药卫生
