摘要
目的:探讨宫腔镜电切术中监测末梢血糖与电解质的临床意义。方法:为46例子宫良性病变患者行宫腔镜电切术,以5%葡萄糖作为灌注液,于手术开始、手术30min、60min、术毕测定末梢血糖、血糖及血钠。结果:血糖在手术30m in、60min时均较术前值升高(P<0.05);血钠手术30min与术前无明显差异(P>0.05);60min、术毕与术前比较显著降低(P<0.05);血钠降低与血糖升高相关(P<0.05)。结论:宫腔镜电切术中灌注液吸收可引起一过性血钠、血糖改变;术中监测末梢血糖、血钠的变化,可及时发现并妥善处理。
Objective：To investigate the clinical significance of monitoring peripheral blood glucose and serum electrolytes during hysteroseopie eleetrotomy. Methods： Forty-six patients with uterine benign lesion undergoing hysteroseopie eleetrotomy were studied. The level of peripheral blood glucose, blood glucose and serum sodium was monitored at the respective operation time point： beginning,30min,60min and the end. Results：The level of blood glucose at 30min and 60min was higher significantly than that at the onset of operation（P 〈0.05 ） ;the level of blood sodium at 30min was no significantly different（P 〉0.05 ） ;the level of blood sodium degraded signifieandy at 60 min and the end compared with that before operafion（P 〈0.05）. There was correlation between the roduction of blood sodium and the increase of blood glucose. Conclusions：The level of blood sodium and blood glucose may be momently changed during hysteroseopie eleetrotomy. The abnormal occurrence can be dealt with in time by monitoring the level of peripheral blood glucose and sodium.
出处
《腹腔镜外科杂志》
2007年第2期106-107,共2页
Journal of Laparoscopic Surgery
关键词
官腔镜术
灌注
局部
血糖
低钠血症
Hysteroseopy
Peffusion, regional
Blood glucose
Hyponatremia
