Effects of different collection methods of uterine distention fluid on serum electrolytes and blood glucose in patients with class-4 hysteroscopic surgery

Abstract

Objective To investigate the effects of different collection methods of uterine distention fluid on serum electrolytes and blood glucose in patients with class-4 hysteroscopic surgery, in order to provide exact diuresis time for doctors, reduce the incidence of body fluid overburden, and ensure patients′ intraoperative safety and postoperative safety. Methods Totally 100 patients with hysteroscopy operation were randomly divided into the experimental group and the control group, with 50 patients in each group. Traditional estimation method was used to estimate the difference of uterine distention fluid, while the accurate method was used to collect the difference of uterine distention fluid. Finally, the incidence rates of hyponatremia between two groups, the potassium, blood glucose, serum sodium and serum chloride 1 hour and 4 hours after surgery were compared. Results In the experimental group, the potassium and sodium 1 hour and 4 hours after operation, were significantly higher than the control group, and the blood glucose was lower than that in the control group (P 0.05). The incidence rate of mild hyponatremia in the experimental group was 6%, and no moderate hyponatremia occurred; while the incidence rate of mild hyponatremia in the control group was 12%, and the incidence rate of moderate hyponatremia was 4% (P<0.05). Conclusions The accurate method of collecting uterine distention fluid can record the difference between intake and output perforate accurately, provide accurate time for doctors in diuresis, supplementing sodium and potassium, reduce the incidence rate of hyponatremia, and ensure the patient safety during hysteroscopy operation. Key words: Hyponatremia; Class-4 hysteroscope operation; Uterine distention fluid; Collection method