摘要:目的:探討經(jīng)尿道前列腺電切術(shù)中糖尿病患者血糖變化以及處理對策。方法:2006年7月~ 2009年1月共對80例患有前列腺增生合并糖尿病患者行TURP,同期對80例單純性前列腺增生患者進(jìn)行相同手術(shù),回顧分析其術(shù)前、術(shù)中30 min、60 min、90 min 指尖血糖變化及干預(yù)情況。結(jié)果:治療組80例患者,51例術(shù)中血糖值明顯低于術(shù)前,分別為1.8～3 mmol/L;對照組術(shù)前與術(shù)中血糖值基本一致,血糖波動于4.5～5.6 mmol/L。結(jié)論:糖尿病患者糖的儲備能力差,在行經(jīng)尿道電切術(shù)中易發(fā)生低血糖綜合征,術(shù)中及時的血糖監(jiān)測及干預(yù)對保證患者的安全有重要意義。Abstract: Objective: To study the changes and measures against the glucose in the operation of the Diabetes by TURP. Methods:Eighty patients with prostate combining diabetes operated from July 2006 to Jan. 2009 were reviewed, and 80 prostate treated at the same period with the same operation measure were selected as control. The preoperative glucose, intraoperative glucose (30′, 60′,90′) of fingertip, and countermeasures were studied and compared between the two groups. Results:Fiftyone cases of the experimental group of intraoperative blood glucose was significantly lower than preoperative values, respectively 1.83 mmol/ L; control group preoperative and intraoperative blood glucose values were basically the same, blood glucose fluctuations in the 4.55.6 mmol/L. Conclusion: The capacity in patients with diabetes is poor, easy to hypoglycemia syndrome in the act of TURP surgery, intraoperative blood glucose monitoring and timely intervention to ensure patient safety significance.