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目的观察控制性输液治疗对腹腔镜胃肠道肿瘤术后患者恢复的影响。方法腹腔镜胃肠道肿瘤手术患者80例,将80例患者随机分为控制性输液组(41例)和正常输液组(39例)。控制性输液组围手术期(术中及术后3天)根据患者的左心射血分数、每搏变异率、中心静脉压、血压、剩余碱、血红蛋白、尿量及额外丢失情况监测指标导向性控制液体输入量;正常输液组围手术期按后常规外科补液方案补液。比较两组患者围手术期平均液体输入量、术后首次排气时间、并发症发生率、住院时间和住院费用。结果控制性输液组和正常输液组围手术期平均液体输入量分别为每天(2391.9±494.09)ml和(2432.4±384.14)ml,两组比较差异无统计学意义(P>0.05),术后首次排气时间、住院时间、并发症的发生率控制性输液组优于正常输液组,住院费用明显少于正常输液组,差异有统计学意义(P<0.05)。两组均无死亡患者。结论在腹腔镜胃肠道肿瘤围手术期采取监测指标导向控制性补液有助于降低术后并发症的发生率,缩短胃肠道功能恢复时间及住院时间,降低住院费用。
Objective To observe the effect of controlled infusion therapy on postoperative recovery of patients with laparoscopic gastrointestinal cancer. Methods Eighty patients with laparoscopic gastrointestinal cancer surgery were randomly divided into control infusion group (n = 41) and normal infusion group (n = 39). Controlled infusion group perioperative period (intraoperative and postoperative 3 days) according to the patient’s left ventricular ejection fraction, stroke rate, central venous pressure, blood pressure, residual alkali, hemoglobin, urine output and additional loss monitoring indicators Sexual control of fluid input; normal infusion group perioperative routine surgical rehydration solution rehydration. The average perioperative fluid intake, the first postoperative exhaust time, the incidence of complications, hospital stay and hospitalization costs were compared between the two groups. Results The average perioperative fluid inputs in control infusion group and normal infusion group were (2391.9 ± 494.09) ml and (2432.4 ± 384.14) ml, respectively, with no significant difference between the two groups (P> 0.05) Ventilation time, hospitalization time, the incidence of complications control infusion group than the normal infusion group, hospitalization costs were significantly less than the normal infusion group, the difference was statistically significant (P <0.05). No deaths occurred in either group. Conclusions Perioperative monitoring of rehydration in laparoscopic gastrointestinal cancer can reduce the incidence of postoperative complications, shorten the recovery time of gastrointestinal function and hospitalization, and reduce the cost of hospitalization.