经尿道前列腺切除术术中监测血糖的临床意义

目的探讨经尿道前列腺电切术（TURP）术中血糖与TURS的关系。方法择期选择患者103例,术中、开始及结束时测定血糖值,若血糖值迅速升高,应同时急查血钠,根据化验结果及时补钠及利尿。根据血糖值分轻度升高组（A组）、中度升高组（B组）、显著升高组（C组）。对比三组相应的血钠值及临床表现。结果 C组10例（占9.8%）,其血钠为114-129mmol/L,B组22例（占21.36%）,血钠为130-135mmol/L,A组69例（占68.93%）,血钠全部在正常范围内（〉135mmol/L）。应用速尿和胰岛素后测血糖及血钠均比用药前有明显改变（P〈0.01）。结论 TURP术中血糖与血钠成明显的负相关性,术中测定血糖可较准确预测TURS的发生。

The clinical importance of monitoring blood glucose during TURP

【Objective】 To evaluate the relation between the blood sugar and plasma sodium during TURP.【Methods】 103 patients undergoing TURP were studied.The blood sugar and sodium were measured at during operation,before operation and after operation respectively.If the blood glucose level increased markedly,sodium were measured immediately.and some measures were done.All were divided into three groups,Group A、Group B、Group C,according to Blood glucose.clinical manifestation and plasma sodium in three groups were recorded and evaluaetd as well.【Resluts】10 patients＇（about 9.8%） blood glucose level of Group C increased markedly with plasma sodium 114-129mmol/L）;22 patients＇ of Group B（about 21.36%） with plasma sodium 1304-135mmol/L）;69patients＇ of Group A（about68.93%） blood glucose level with plasma sodium normal;Blood sugar was significantly decrease and plasma sodium was significantly increased after Subcutaneous injection Insulin and intravenous injection of furosemide.【Conclusion】Blood sugar and plasma sodium have negative correlation in TURP.Determination of fingertip blood sugar can predict TURS of occurring in the operation.