The Changes Of Electrolyte And Blood Sugar During The PCNL For Patients

ObjectiveBy observing the changes of electrolyte,renal function,blood sugar,to discuss the necessarity of monitoring electrolyte and blood sugar during the perioperation of PCNL for genal anaesthesia patients.Methods60 patients performed the PCNL were selected,randomly divided into group A and B(n=30).In group A,hydroxyethyl starch was infused in operation, in group B,500 ml of sodium, potassium, calcium, magnesium and glucose injection by adding 1.2 grams of potassium chloride,15 grams glucose was infused in operation.In two groups of patients,The blood sodium, kalium, sugar,chlorine,calcium, magnesium, creatinine and blood BUN were measured after prostate position and before irrigating(To) by 0.9%sodium chloride,and after irrigating 35min(T35),75min(T7o).ResultsIn group A, T35 compared with To, sodium, chloride, creatinine, urea nitrogen was significantly increased, the difference was statistically significant (P<0.05),potassium, magnesium, calcium, blood glucose was decreased, the difference was significant (P< 0.05), T70 compared with To and T35, sodium, chloride, creatinine, urea nitrogen was significantly increased, the difference was statistically significant (P<0.05),potassium, magnesium, calcium, blood glucose was decreased, the difference statistically signifi-cant (P<0.05). In group B, T35 compared with To sodium, chloride, creatinine, urea n-itrogen was significantly increased, the difference was statistically significant (P<0. 05), the change of potassium, magnesium, calcium, glucose was not obvious, the di-fferenc e was not statistically significant (P> 0.05), T70 compared with To and T35, so-dium, chloride, creatinine, urea nitrogen was significantly increased, the difference w-as statistically significant (P<0.05), the change of potassium, magnesium, calcium, glucose was not obvious, the difference was not statistically significant(P> 0.05). G-roup B compared with group A, the change of sodium, chloride, creatinine, urea nit-rogen was no significant difference, the difference was not statistically significant (P> 0.05), in T0,the change of potassium, magnesium, calcium, glucose was not obvious, the difference was not statistically significant (P> 0.05), in T35 and T70, the levels of potassium, magnesium, calcium, blood glucose, group B were significantly higher than the group A, the difference was statistically significant (P<0.05).ConclusionPCNL patients with anesthesia and surgery extended, the fluid consumption increased, the values of sodium, chloride, creatinine, urea nitrogen increased gradually, the values of potassium, magnesium, calcium, blood glucose decreased gradually, the electrolyte and glucose should be monitoried in routine, in order to ensure the safety of patients, potassium, magnesium, calcium, glucose should be appropriately added appropriately in PCNL.