山东大学学报（医学版） ›› 2015, Vol. 53 ›› Issue (6): 82-85.doi: 10.6040/j.issn.1671-7554.0.2014.542
潘国政, 由法平, 王帅, 卜庆敖, 袁庆忠
PAN Guozheng, YOU Faping, WANG Shuai, BU Qing'ao, YUAN Qingzhong
摘要： 目的 探讨目标导向性液体治疗对老年患者腹部外科手术的影响。方法 选取2013年5月～2014年11月行腹部外科手术老年患者44例,随机分成目标导向性液体治疗组(A组)和传统液体治疗组(B组)。比较两组患者术中补液量、每分钟尿量、出血量;术后第1天红细胞比容(HCT)、肌酐(CR)、尿素氮(BUN);手术后排气时间、住院天数、并发症发生情况。结果 A组术中补液量、每分钟尿量明显少于B组,差异有统计学意义;A、B两组术中出血量差异无统计学意义;两组患者在术后第1天HCT、CR、BUN差异无统计学意义;A组患者术后排气时间及住院天数均少于B组患者,差异有统计学意义,两组患者术后并发症的发生率差异无统计学意义。结论 在老年患者中,基于每搏输出量的变异度(SVV)的目标导向性液体治疗,术中补液合理,术后肠道功能恢复快,住院时间短,比传统液体治疗更加安全可靠。
中图分类号:
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