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目的:探讨经尿道前列腺电切术中糖尿病患者血糖变化以及处理对策。方法:2006年7月～2009年1月共对80例患有前列腺增生合并糖尿病患者行TURP,同期对80例单纯性前列腺增生患者进行相同手术,回顾分析其术前、术中30 min、60 min、90 min指尖血糖变化及干预情况。结果:治疗组80例患者,51例术中血糖值明显低于术前,分别为1.8～3 mmol/L;对照组术前与术中血糖值基本一致,血糖波动于4.5～5.6 mmol/L。结论:糖尿病患者糖的储备能力差,在行经尿道电切术中易发生低血糖综合征,术中及时的血糖监测及干预对保证患者的安全有重要意义。
Objective: To investigate the changes of blood glucose in diabetic patients undergoing transurethral resection of prostate and the treatment strategies. Methods: From July 2006 to January 2009, 80 patients with benign prostatic hyperplasia and diabetes were treated with TURP. 80 patients with benign prostatic hyperplasia (BPH) underwent the same surgery at the same period. The patients underwent preoperative and intraoperative 30 min, 60 min, 90 min fingertip blood glucose changes and interventions. Results: In the 80 patients in the treatment group, the blood glucose level in 51 patients was significantly lower than that before operation (1.8-3 mmol / L). The blood glucose level in the control group was basically the same as that before operation, and the blood glucose level fluctuated between 4.5 and 5.6 mmol / L . Conclusion: The patients with diabetes mellitus have poor reserve capacity of glucose. Hypoglycemic syndrome is prone to occur during transurethral resection of the urethra. The timely intraoperative blood glucose monitoring and intervention are of great importance to ensure the safety of patients.