限制性输液对老年患者术后快速康复的临床研究  

Clinical Study on the Effect of Limited Infusion on the Postoperative Rapid Rehabilitation of Elderly Patients

作　　者：蔡宜良 陈家趁 张昌森 吴铁 关小园 谢葵山 CAI Yiliang;CHEN Jiachen;ZHANG Changsen;WU Tie;GUAN Xiaoyuan;XIE Kuishan(Yangdong District People’s Hospital of Yangjiang City,Yangjiang 529500,China;不详)

机构地区：[1]阳江市阳东区人民医院,广东阳江529500

出　　处：《中外医学研究》2021年第31期1-4,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：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:探讨限制性输液对老年患者术后快速康复的临床影响。方法:选取2019年8月-2020年5月阳江市阳东区人民医院收治的老年患者60例,均行择期手术治疗,采用信封法将患者随机分为限制性输液组(n=30)和常规输液组(n=30),限制性输液组采用限制性输液方法,常规输液组采用常规输液方法,观察两组术前诱导(T_(0))、手术即刻(T_(1))、手术30 min(T_(2))和术毕(T_(3))时心率、平均动脉压和脑电双频指数,以及诱导前后脉搏氧灌注指数(PI)、恢复情况及并发症。结果:限制性输液组和常规输液组T_(0)、T_(1)、T_(2)和T_(3)时心率、平均动脉压和脑电双频指数比较,差异无统计学意义(P>0.05);限制性输液组麻醉诱导后PI与常规输液组比较,差异无统计学意义(P>0.05);限制性输液组术后首次排气时间、首次排便时间和住院时间优于常规输液组,差异有统计学意义(P<0.05);限制性输液组和常规输液组并发症发生率比较,差异无统计学意义(P>0.05)。结论:限制性输液在老年患者手术中有较好的应用价值,可缩短首次排气时间、排便时间及住院时间,有利于患者的术后康复。Objective:To investigate the effect of limited infusion on rapid postoperative rehabilitation of elderly patients.Method:A selection of 60 elderly patients who underwent elective surgery at Yangdong District People’s Hospital of Yangjiang City from August 2019 to May 2020.The envelope method was used to randomly divide patients into the limited infusion group(n=30)and the conventional infusion group(n=30).The limited infusion group was given the restrictive infusion method,and the conventional infusion group was given the conventional infusion method.The heart rate,mean arterial pressure and bispectral index at preoperative induction(T_(0)),immediate operation(T_(1)),30 minutes operation(T_(2))and after operation(T_(3)),as well as the pulse oxygen perfusion index(PI)before and after induction,recovery and complications after operation were observed.Result:There were no significant differences in heart rate,mean arterial pressure and bispectral index at T_(0),T_(1),T_(2)and T_(3)between the limited infusion group and conventional infusion group(P>0.05).There was no statistical significant difference in PI after induction of anesthesia between the limited infusion group and the conventional infusion group(P>0.05).The time of first exhaust,first defecation and hospitalization in the limited infusion group were significantly better than those in the conventional infusion group,the differences were statistically significant(P<0.05).The incidence of complications in the limited infusion group was compared with the conventional infusion group,the difference was not statistically significant(P>0.05).Conclusion:Limited infusion has good application value in the operation of elderly patients,which shorter the time of first exhaust,first defecation and hospitalization,and it is conducive to the recovery of patients after surgery.

关 键 词：限制性输液 常规输液 老年患者 快速康复 

分 类 号：R614[医药卫生—麻醉学]