全身麻醉下胃肠手术患者行术中目标导向容量治疗的效果探讨  

Discussion on the effect of intraoperative target-oriented volume therapy for patients undergoing gastrointestinal surgery under general anesthesia

作　　者：王菲[1] WANG Fei(Department of Anesthesiology,Dalian Hospital Affiliated to China Medical University,Dalian 116600,China)

机构地区：[1]中国医科大学附属盛京医院大连医院麻醉科,116600

出　　处：《中国现代药物应用》2022年第2期36-38,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究全身麻醉下胃肠手术患者实施术中目标导向容量治疗的效果。方法70例全身麻醉下胃肠手术患者,以系统抽样法分为研究组与对照组,各35例。对照组进行传统术中液体治疗,研究组采用术中目标导向容量治疗。比较两组肠蠕动恢复时间、住院时间、并发症发生情况。结果研究组肠蠕动恢复时间(3.71±1.62)d、住院时间(10.25±2.09)d短于对照组的(4.65±1.76)、(12.24±2.27)d,差异有统计学意义(P<0.05)。研究组肠梗阻、恶心呕吐发生率分别为8.57%、11.43%,低于对照组的31.43%、40.00%,差异有统计学意义(P<0.05)。两组低血压、心律失常发生率比较差异无统计学意义(P>0.05)。结论针对全身麻醉下胃肠手术患者术中给予目标导向容量治疗,可取得显著临床疗效,可有效缩短患者住院时间,同时降低术后肠梗阻等并发症发生风险,且安全性更高。Objective To investigate the application effect of intraoperative target-oriented volume therapy for patients undergoing gastrointestinal surgery under general anesthesia.Methods A total of 70 patients undergoing gastrointestinal surgery under general anesthesia were divided into research group and control group by systematic sampling,with 35 cases in each group.The control group received traditional intraoperative fluid therapy,and the research group received intraoperative target-oriented volume therapy.The recovery time of intestinal peristalsis,the hospitalization time,and complication rates were compared between the two groups.Results The recovery time of intestinal peristalsis(3.71±1.62)d and hospitalization time(10.25±2.09)d in the research group were shorter than(46.5±1.76)and(12.24±2.27)d in the control group,and the difference was statistically significant(P<0.05).The incidence of intestinal obstruction and nausea and vomiting in the research group were 8.57% and 11.43%,which were lower than 31.43% and 40.00% in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of hypotension and arrhythmia between the two groups(P>0.05).Conclusion Target-oriented volume therapy has significant clinical efficacy on patients undergoing gastrointestinal surgery under general anesthesia,which can effectively shorten the hospitalization time of patients,reduce the risk of postoperative intestinal obstruction and other complications,and has higher safety.

关 键 词：全身麻醉 胃肠手术 目标导向容量治疗 应用效果 

分 类 号：R614[医药卫生—麻醉学]