限制性和开放性输液对老年患者腹部术后并发症的影响  

Effect of restricted and open infusion on postoperative complications of abdominal surgery in elderly patients

作　　者：陈竞 吴穗平 蔡宜良 陈家趁 谢葵山 CHEN Jing;WU Sui-ping;CAI Yi-liang;CHEN Jia-chen;XIE Kui-shan(Department of Anesthesiology,Yangdong District People's Hospital of Yangjiang City,Guangdong Province,Yangjiang 529500,China)

机构地区：[1]广东省阳江市阳东区人民医院麻醉科,广东阳江529500

出　　处：《中国当代医药》2021年第4期141-143,共3页China Modern Medicine

基　　金：广东省阳江市医疗卫生类科技计划项目(阳科通[2019]50号160)。

摘　　要：目的探讨老年患者限制性输液和开放性输液对腹部术后并发症的影响。方法回顾性分析2019年4月~2020年4月阳江市阳东区人民医院70例老年腹部手术患者的临床资料,依据输液方法分为限制性输液组(35例)和开放性输液组(35例),比较两组患者的手术相关指标、术后并发症发生情况。结果两组患者的麻醉时间、手术时间、术中出血量比较,差异无统计学意义(P>0.05)。限制性输液组患者的总输血量、尿量少于开放性输液组,差异有统计学意义(P<0.05)。限制性输液组术后并发症总发生率低于开放性输液组,差异有统计学意义(P<0.05)。结论老年患者限制性输液较开放性输液更能有效减少腹部术后并发症的发生,值得在临床推广应用。Objective To explore the effect of restricted transfusion and open transfusion on postoperative complications of abdominal surgery in elderly patients.Methods The clinical data of 70 elderly patients with abdominal operation in Yangdong District People's Hospital from April 2019 to April 2020 were retrospectively analyzed.According to the infusion method,they were divided into the restricted infusion group(35 cases)and the open infusion group(35 cases).Operative related indexes and postoperative complications were compared between the two groups.Results There was no significant difference in anesthesia time,operation time and intraoperative blood loss between the two groups(P>0.05).The total transfusion volume and urine volume of patients in the restricted infusion group were less than those in the open infusion group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the restricted infusion group was lower than that in the open infusion group,the difference was statistically significant(P<0.05).Conclusion Compared with open transfusion,restricted transfusion can effectively reduce the postoperative complications of abdominal surgery in elderly patients,so is worthy of promotion and application in the clinical.

关 键 词：老年患者 限制性输液 开放性输液 腹部术后 并发症 

分 类 号：R614[医药卫生—麻醉学]