TURP和TUVP对生命体征及心肌酶影响的比较

研究ＴＵＶＰ临床应用的安全性，探讨ＴＵＶＰ与ＴＵＲＰ对血液动力学及心肌酶学影响的程度。方法：６０例ＢＰＨ患者随机行ＴＵＶＰ或ＴＵＲＰ术，测定ＴＵＶＰ术围手术期临床表现、生命体征、血象、生化、血清心肌酶ＣＫ、ＣＫ－ＭＢ及肌钙蛋白Ⅰ水平、心电图等。结果：ＴＵＶＰ（３２例）围手术期生命体征较ＴＵＲＰ（２８例）平稳，无心血管意外或ＴＵＲ综合征发生，ＴＵＶＰ组心电图改变轻微。二组术后各时间点ＣＫ、ＣＤ－ＭＢ

THE IMPACT ON VITAL SIGN AND MYOCARDIAL ENZYMES OF TUVP AND TURP

Objective: To evaluate the vital sign and myocardial enzyme levels of TUVP and TURP. Methods: Sixty patients with BPH were divided into TUVP or TURP group randomly to relieved their bladder outlet obstruction. The serum CK CK-MB cTn I cardiovascular complications and eletrocadiograms were measured or recorded pre-operatively. Results: No patient had cardiovascular event or TUR syndrome. Significant elevations of CK CK-MB cTn I were noted in 52.3% 63.1% 4.2% of the patient in the TUVP group (n=32), as 66.4% 79.3% 6.7% in the TURP group (n=28). The CK CK-MB cTn I levels at 18h post-operatively of the two groups were higher than the pre-operative level. The 18h post-operative CK-MB cTn I levels in the TUVP group were lower than the TURP group (p<0.05). Conclusions: The impact on vital signs and myocardial injury of TUVP is lighter than TURP.