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目的了解经尿道前列腺汽化电切术中血糖变化。方法选择硬膜外麻醉或腰硬联合麻醉下经尿道前列腺汽化电切术70例,术中观察并记录最高血糖值及出现时间。结果术中有9例(12.86%)血糖升高至10.1~37.9mmol/L,1例发生电切综合征(TURS),术毕第1天有6例血糖恢复正常,有3例血糖分别为6.33、6.34及13.0mmol/L。结论经尿道前列腺汽化电切术中冲洗液吸收是造成血糖升高的潜在危险因素,因而术中应常规作血糖监测。
Objective To understand the changes of blood glucose in transurethral vaporization of the prostate. Methods Seventy patients undergoing transurethral vaporization of the prostate under epidural anesthesia or combined spinal and epidural anesthesia were enrolled in this study. The highest blood glucose level and time of onset were observed and recorded intraoperatively. Results The blood glucose was increased to 10.1-37.9 mmol / L in 9 cases (12.86%) during operation. TURS occurred in 1 case. The blood glucose returned to normal on the first day after operation, and the blood glucose in 3 cases 6.33, 6.34 and 13.0 mmol / L. Conclusion The absorption of irrigation fluid in transurethral vaporization of the prostate is a potential risk factor for the rise of blood glucose, so blood glucose monitoring should be routinely performed during surgery.