开腹手术后限制性输液对老年患者恢复的影响  

Effect of Post-operative Restrictive Fluid Therapy in the Recovery of Elder Patients with Open Abdominal Surgery

作　　者：李东哲[1] 崔凯[1] 张升瑞[1] 

机构地区：[1]沈阳医学院附属中心医院普外科,辽宁沈阳110000

出　　处：《中国伤残医学》2014年第5期7-9,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨术后限制性液体治疗对老年病人开腹术后并发症和预后的影响。方法：将沈阳医学院附属中心医院普外科2011年1月～2012年12月胃肠道疾病接受开腹手术治疗的患者共例70例，年龄＞65岁的腹部手术病人随机分为限制输液组和常规输液组。分别给与常规液体治疗（常规组，n＝35）和限制性液体治疗（限制组n＝35）观察生命体征及首次排气、排便时间，术后并发症情况、有无死亡及出院时间等差异。结果：限制输液组病人输入液体总量、术后总并发症发生率、术后住院时间显著低于标准输液组（P＜0．05）。结论：老年腹部手术病人术后实施限制性液体治疗，有利于减少术后并发症，缩短住院时间。Objective：To compare the outcome of restricted or standard intravenous fluid administration in postoperative elder patients . Methods：This study was designed as a prospective and randomized controlled trial .Seventy patients allocated to either restricted （ R,n=35） or standard（S,n=35） fluid administration.To investigate vital signs and post operative complications ,including intestinal,heart,renal and respiratory function,and the deathrate,hospital stay.Results：The total fluid volume, total postoperative complications （13 vs 27）, hospital stay （12（7-33）vs20（9-52））were significantly reduced in restricted group （P〈0.05 ） when compared with standard group . Conclusion：For elder patients who undergo open abdominal surgery , postoperative restrictive intravenous fluid administration may be more beneficial , it would reduce total postoperative complications and decrease hospital stay .

关 键 词：限制性液体治疗 老年病人 术后并发症 

分 类 号：R6[医药卫生—外科学]