5%转化糖电解质液不同输注速度对患者围术期血糖及电解质的影响  

Effects of different infusion rate of 5% invert sugar and electrolytes injection on the blood glucose and electrolytes of patients during perioperative period

作　　者：任柏林 杨清存 卢锡华 

机构地区：[1]郑州大学附属肿瘤医院麻醉科,郑州市450003

出　　处：《临床麻醉学杂志》2015年第9期877-879,共3页Journal of Clinical Anesthesiology

摘　　要：目的 观察5%转化糖电解质液不同输注速度对患者围术期血糖及电解质的影响。方法2013年4~9月择期手术患者96例,ASAⅠ或Ⅱ级,按5%转化糖电解质液输注速度随机分为4ml/min输注组（A组）、8ml/min输注组（B组）和12ml/min输注组（C组）。观察并记录三组患者5%转化糖电解质液输入前（T0）、输入后即刻（T1）、输入后1h（T2）、2h（T3）的患者静脉血血糖及动脉血气电解质分析结果。结果 与T0时比较,T1时B组和T1、T2时C组血糖明显升高（P〈0.05）;T1时C组Na＋、K＋明显升高（P〈0.05）。与A组比较,T1时B组和T1、T2时C组血糖明显升高（P〈0.05）;T1时C组Na＋、K＋明显升高（P〈0.05）。与B组比较,C组T1、T2时血糖、T1时Na＋、K＋明显升高（P〈0.05）。结论 5%转化糖电解质液输注速度不超过8ml/min,不仅为患者扩充容量,且维持电解质的稳定,适用于手术患者围术期的补液。Objective To comparise different infusion rate of 5% invert sugar and electrolytes injection on the changes of blood glucose and electrolytes during perioperative period in surgical pa- tients. Methods Ninety-six patients received elective general anesthesia were randomly divided into three groups （n= 32） according to the infusion rate： group 4 ml/min （group A）, group 8 ml/min （group B） and group 12 ml/min （group C）. The changes of blood glucose and electrolytes were recor- ded before transfusion （T0）, after infusion （T1）, 1 h （T2）, 2 h （T0）. Results The blood glucose at T1 in group B and at T1, T2 in group C, Na＋ and K＋ at T1 in group C were significantly increased compared to To and group A （P〈0. 05）. The blood glucose at T1 ,T2 and Na＋ , K＋ at T1 in group C were significantly increased compared to group B （P〈 0.05）. Conclusion The reasonable infusion rate of 50//oo invert sugar and electrolytes injection is less than 8 ml/min. Except for its volume replaee- rnent effect, it can also provide energy and electrolytes required for the patients during perioperativeperiod.

关 键 词：5%转化糖电解质 输注速度 血糖 电解质 围术期 

分 类 号：R614[医药卫生—麻醉学]