食管癌术后早期目标容量导向治疗对心血管系统的影响  

Early Goal Directed Therapy Capacity Effects on the Cardiovascular System after Esophageal Cancer Operation

作　　者：袁欣[1] 王雁冰[1] 陈晓峰[1] 陈艾江 黄志斌 张江涛 赵娜[1] 

机构地区：[1]保定市第二中心医院,河北保定072750 [2]张家口市万全县卫生局,河北张家口075000

出　　处：《北华大学学报（自然科学版）》2013年第2期201-204,共4页Journal of Beihua University（Natural Science）

基　　金：保定市科学技术研究与发展计划项目(12zf113)

摘　　要：目的探讨食管癌术后早期患者采用目标容量导向治疗对心血管系统的影响.方法将100例胸段食管癌患者随机分2组,每组50例,采用相同术前准备、手术方式,术后观察组采用目标容量导向治疗,对照组采用传统液体治疗方法,比较术后2组不同时间的心率(RT)、收缩压(SBP)、术后液体平衡量Fb(mL)、心脏并发症.结果术后出现心律失常、心力衰竭的患者观察组均优于对照组,术后1～4 d观察组心率增加值均低于对照组,有统计学意义(P<0.01);术后第5天差别无统计学意义(P>0.05).术后1～2 d观察组液体正平衡量少于对照组,有统计学意义(P<0.01);术后3～4 d观察组液体负平衡量少于对照组,有统计学意义(P<0.01);术后第5天液体平衡差别无统计学意义(P>0.05).结论采用术后早期目标容量导向治疗可以改善心血管系统功能,减少并发症的发生.Objective To explore the early postoperative patients with esophageal carcinoma by target capacity oriented therapy effects on the cardiovascular system. Method 100 cases with thoracic esophageal cancer were randomly divided into 2 groups,50 cases in each group,using the same preoperative preparation, operation way, postoperative observation group using target capacity oriented therapy, the control group using the traditional liquid treatment method, comparison of different times after the operation of heart rate （ RT ）, systolic blood pressure （ SBP）, postoperative liquid equilibrium of Fb （ mL）, cardiac complications. Results The postoperative arrhythmia, heart failure in observation group are better than those of control group, increased values of heart rate after 1-4 d operation in observation group were lower than that of the control group, there was statistically significant （ P 〈 0.01 ） ; there had no significant difference （ P 〉 0.05 ） after 5 d ; positive fluid balance ofobservation group is less than that of the control group after 1-2 d, there is statistical significance （P 〈 O. 01 ） ;the negative fluid balance in observation group is less than that of the control group after 3-4 d operation,there was statistically significant difference （P 〈 0.01 ） ; the fluid balance after 5 d operation had no statistical significance （P 〉 0.05 ）. Conclusion The early postoperative target capacity oriented therapy can improve the function of cardiovascular system and reduce complications.

关 键 词：食管癌 围术期 目标容量导向治疗 心血管系统功能 

分 类 号：R619[医药卫生—外科学]