目标导向性液体治疗对老年患者腹部外科手术的影响

doi:10.6040/j.issn.1671-7554.0.2014.542

Abstract

Abstract: Objective To investigate the effect of goal-directed fluid therapy on elderly patients undergoing abdominal surgery. Methods A total of 44 elderly patients who received abdominal surgery in our hospital during May 2013 and Nov 2014 were divided into two groups: goal-directed liquid treatment group (group A) and conventional treatment group (group B). The patients' clinical data were analyzed, including volume of fluid input, volume of urine per minute, intraoperative blood loss, hematocrit (HCT), creatinine (CR), blood urea nitrogen (BUN) on the first day after operation, exhaust time, hospitalization time, and complications. Results The volume of fluid input, volume of urine per minute, exhaust time, and hospitalization time for group A were significantly less/shorter than those for group B. There were no statistical differences in the other indexes between the two groups. Conclusion Goal-directed fluid therapy based on stroke volume variation (SVV) was safer and more reliable than traditional liquid treatment for elderly patients, because the volume of fluid input was more reasonable, and bowel functions recovered sooner.

Key words: Elderly patients, Abdominal surgery, Goal-directed fluid therapy

CLC Number:

R565

PAN Guozheng, YOU Faping, WANG Shuai, BU Qing'ao, YUAN Qingzhong. Effect of goal-directed fluid therapy on abdominal surgery in elderly patients[J].JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(6): 82-85.

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Effect of goal-directed fluid therapy on abdominal surgery in elderly patients

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