TURP术中出血量的测定方法的比较

目的寻找能够判断TURP术中出血量的最具有诊断效能的测定方法。方法将50例行TURP手术患者均采用休克指数法、测HB含量计算法及血红蛋白浓度测定法三种检测术中出血量的方法,并与术后医生根据患者术后表现及相应临床症状对患者作出的出血所达到的是否休克情况这一标准作比对,来判断这三种方法的诊断价值。结果我们得出休克指数法的诊断效能相对较差(P>0.05,ROC:0.675),测HB法(P<0.05,ROC:0.738)及测血红蛋白法(P<0.05,ROC:0.813)的诊断效能更高,但是将三者联合应用(P<0.001,ROC:0.910)后的诊断效能是最高的。结论术中使用血红蛋白浓度测定法以及测HB含量计算法,并且积极监测患者休克指数,对患者术后出血情况的评估能作出更加准确的判断。

Comparison of Measurement Methods for Intraoperative Blood Loss in TURP

Objective To find the most effective diagnostic method of determining the amount of bleeding in TURP.Methods The 50 underwent TURP surgery patients with shock index method,measuring the HB content calculation method and determination of hemoglobin concentration method,three kinds of detection methods of intraoperative blood loss,and postoperative doctors according to the patient's postoperative performance and corresponding to the clinical symptoms of patients with hemorrhage achieved whether shock situation this standard at the time,to determine the diagnostic value of these three methods.Results The diagnostic efficacy of the shock index method was relatively poorer(P>0.05,ROC:0.675),HB(P<0.05,ROC:0.738)and hemoglobin(P<0.05,ROC:0.813),but the diagnostic efficacy was the highest after the combination of the three methods(P<0.001,ROC:0.910).Conclusion The intraoperative HB concentration measurement and HB content calculation method are used,and the shock index of patients is actively monitored,which can make a more accurate judgment on the evaluation of patients'postoperative bleeding.