限制性液体管理策略在重度子痫前期术后快速康复的应用价值  

Application value of restrictive fluid management strategy in rapid postoperative recovery of severe preeclampsia

作　　者：龚妹 赵菲[2] 廖宗高[2] GONG Mei;ZHAO Fei;LIAO Zonggao(Department of Obstetrics,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330000,China;Intensive Care Unit,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330000,China)

机构地区：[1]江西省妇幼保健院产科,江西南昌330000 [2]江西省妇幼保健院重症监护室,江西南昌330000

出　　处：《中国当代医药》2024年第2期84-87,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202130779)。

摘　　要：目的探讨限制性液体管理策略在重度子痫前期术后快速康复中的应用价值。方法回顾性分析2018年1月至2023年1月江西省妇幼保健院收治的100例重度子痫前期患者的临床资料,按就诊时间的不同分为研究组(2019年5月至2023年1月)与对照组(2018年1月至2019年4月),每组各50例。对照组实施限常规液体管理,研究组实施限制性液体管理。比较两组患者的严重并发症的发生率、血压值下降效果、术后住院时间及术后ICU住院时间。结果研究组的心力衰竭、肺水肿、黑尔普(HELLP)综合征的发生率均低于对照组,差异有统计学意义(P<0.05);研究组的血压下降总有效率高于对照组,差异有统计学意义(P<0.05);研究组的术后住院时间及术后ICU住院时间均短于对照组,差异有统计学意义(P<0.05)。结论限制性液体管理策略可减少重度子痫前期术后严重并发症的发生,可更快地使血压下降到目标值,缩短住院时间,从而起到促进重度子痫前期术后快速康复的作用。Objective To explore the application value of restrictive fluid management strategy in rapid postoperative recovery of severe preeclampsia.Methods The clinical data of 100 patients with severe preeclampsia admitted to Jiangxi Maternal and Child Health Hospital from January 2018 to January 2023 were retrospectively analyzed.According to the different treatment time,they were divided into study group(May 2019 to January 2023)and control group(January 2018 to April 2019),with 50 cases in each group.The control group was administered with limited conventional liquid management,while the study group was administered with limited liquid management.The incidence of serious complications,the effect of blood pressure reduction,the length of postoperative hospital stay and the length of postoperative ICU stay were compared between the two groups.Results The incidences of heart failure,pulmonary edema and hemolysis,elevated liver enzymes,and low platelet count(HELLP)syndrome in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of blood pressure reduction in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The length of postoperative hospital stay and postoperative ICU stay in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Restrictive fluid management strategy can reduce the incidence of severe complications after surgery for severe preeclampsia,reduce blood pressure to the target value faster,shorten the length of hospital stay,and thus play a role in promoting rapid recovery after surgery for severe preeclampsia.

关 键 词：限制性液体管理策略 术后快速康复 重度子痫前期 严重并发症 

分 类 号：R714.244[医药卫生—妇产科学]