Anesthesia and clinical importance of monitoring blood glucoseand electrolytes during hysteroscopic surgery / 重庆医科大学学报

ABSTRACT

Objective:To study the management of anesthesia and to assess the changes in blood glucose and electrolytes during operative hysteroscopy.Methods:80 patients undergoing operative hysteroscopy were allocated to GA group (the general anesthesia group, n =36) and EA group (the epidural anesthesia, n =44).The electrolytes (Na +,K +,Cl -),blood glucose,blood gas(HCO - 3,PaCO 2,pH),Hb,Hct were observed before operation,at 30 min during operation and after operation respectively.Meanwhile,the irrigating fluid volume and operation procedure were recorded.Results:The blood glucose level increased markedly at 30 min during operation as compared with that before operation and after operation as compared with that during operation.There was a significant higher blood glucose level after operation than that at 30 min during operation and there was no significant difference between the two groups.Serum sodium was significantly changed in electrolytes.There was a significantly lower sodium level at 30 min during operation as compared with that before operation and after operation as compared with that during operation.There was no significant difference between the two groups.There was also no significant difference between the groups in volume irrigating fluid.Conclusion:The intravenous-inhaled combined anesthesia and epidural anesthesia can be used safely for operative hysteroscopy.It is one of the important means to monitor the blood glucose and electrolytes in operative hysteroscopy.