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目的 :探讨体位干预的作用 ,预防或减轻经尿道前列腺切除术 (TURP)对老年患者循环呼吸功能的影响。方法 :选择行TURP且年龄 >6 0岁的老年患者 6 0例 ,随机分为两组 ,对照组术中采用常规的膀胱截石位 ,干预组在手术的不同时段放置不同的体位。监测心率 (HR)、无创血压 (NBP)、心电图 (EKG)、动脉血氧饱和度 (SPO2 )及临床症状。结果 :对照组血压波动明显大于干预组 ,差异有显著性 (P <0 .0 1) ,胸闷、气促、心慌、恶心、呕吐、低SPO2 发生率也高于干预组。结论 :干预体位可以在一定程度上预防或减轻TURP对老年患者循环呼吸功能的影响 ,提高手术的安全性。
Objective: To investigate the effect of body position intervention to prevent or reduce the effects of transurethral resection of prostate (TURP) on circulatory function in elderly patients. Methods: Totally 60 elderly patients aged> 60 years were selected and randomly divided into two groups. The control group received conventional lithotomy. The intervention group was given different positions at different stages of operation. HR, NBP, EKG, SPO2 and clinical symptoms were monitored. Results: The fluctuation of blood pressure in the control group was significantly greater than that in the intervention group (P <0.01). The incidence of chest tightness, shortness of breath, palpitation, nausea, vomiting and low SPO2 were also higher than those in the intervention group. Conclusion: Interventional position can prevent or reduce the effect of TURP on circulatory respiratory function in elderly patients to some extent, and improve the safety of operation.