Clinical effects of preventing TURP syndrome by monitoring blood glucose and serum sodium during hysteroscopic electrosurgery
10.3760/cma.j.issn.1674-2907.2016.11.004
- VernacularTitle:血糖和血钠监测预防宫腔镜手术TURP综合征的效果
- Author:
Yan ZHAO
1
;
Xiaochuan WANG
;
Limin FENG
Author Information
1. 100050,首都医科大学附属北京天坛医院手术室
- Keywords:
Blood glucose;
Serum sodium;
Hysteroscopy;
Transurethral resection of prostate syndrome;
Monitoring;
Prevention;
Operative cooperation
- From:
Chinese Journal of Modern Nursing
2016;22(11):1499-1502
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of preventing transurethral resection of prostate syndrome(TURP) by monitoring blood glucose and serum sodium during hysteroscopic electrosurgery.Methods Forty-six patients with benign uterine conditions were enrolled in our study with objective sampling method.5％ dextrose was used as irrigating fluid for the hysteroscopic resection in these patients.Blood glucose,biochemical indicator and the differences of liquid intake and output volume were monitored before and during the surgery.Results After operation,the level of blood glucose in all patients had increased,but serum sodium decreased,both of which showed significant differences compared with pre-operative (P ＜ 0.05).One case of hyperglycemia and hyponatremia was detected during the operation.After the effective and symptomatic treatment,the condition of the patients was improved and the dangerous situation was avoided.Conclusions It is effective to find the abnormal increase of blood glucose and take measures in order to prevent TURP syndrome by the effective cooperation of doctors and nurses and monitoring blood glucose and serum sodium during hysteroscopic electrosurgery.
