不同处理方法对经尿道前列腺电切术患者寒战反应的预防效果分析

目的比较不同的处理方法对减少经尿道前列腺电切术中患者寒战的效果。方法收集320例择期行经尿道前列腺电切术患者，随机分成Ⅰ组、Ⅱ组、Ⅲ组、Ⅳ组各80例，全部采用蛛网膜下隙阻滞硬膜外联合麻醉，经尿道行前列腺电切术，对4组患者分别采用不同的预防和护理方法，观察4组患者寒战发生情况。结果寒战的发生率Ⅰ组和Ⅲ组较Ⅳ组显著降低，差异有统计学意义。结论物理升温及曲马多静脉注射可降低经尿道前列腺电切术中患者寒战的发生率。

Effect analysis of different coping method on the prevention of shiver reaction in patients after transurethral resection of prostate

Objective To compare the effect of different coping method on the prevention of shiver reaction in patients after transurethral resection of prostate. Methods 320 patients who were to undergo transurethral resection of prostate were collected and grouped into group Ⅰ, group Ⅱ, group m and group Ⅳ. All cases received transurethral resection of prostate under subarachnoid-epidural analgesia. Different prevention methods were adopted in the four groups.The incidence of shiver reaction in four groups was observed. Results The incidence rate of shiver reaction in group Ⅰ and group Ⅲ decreased compared with group Ⅳ. Conclusion increase of temperature physically and intravenous injection of tramadol could decrease the incidence rate of shiver reaction in patients after transurethral＇resection of prostate.