控制性低中心静脉压技术对肝癌患者出血量和血气指标的影响  

Effect of Controlled Low Central Venous Pressure Technique on Bleeding Volume and Blood Gas Indicators of Liver Cancer Patients

作　　者：金云霞[1] 邢春花[1] 佘勇军[1] 马丽娟[1] 邬冬云 JIN Yunxia;XING Chunhua;SHE Yongjun;MA Lijuan;WU Dongyun(Department of Anesthesiology,Nantong City the Third People's Hospital,Nantong,Jiangsu 226000)

机构地区：[1]南通市第三人民医院麻醉科,江苏南通226000

出　　处：《智慧健康》2024年第7期158-160,共3页Smart Healthcare

摘　　要：目的 探讨控制性低中心静脉压技术对肝癌患者出血量和血气指标的影响。方法 选取2020年5月—2023年5月南通市第三人民医院收治的58例肝癌患者作为研究对象,随机分为实验组和对照组,每组29例。实验组采用控制性低中心静脉压(LCVP)技术,对照组采用正常中心静脉压(CVP)技术,比较分析两组出血量和手术开始时(T1)、切肝结束时(T2)、手术结束时(T3)的动脉血气指标。结果 实验组术中出血量、术中输血均少于对照组(P<0.05),实验组pH值、碱剩余(BE)、碳酸氢根(HCO3)在T2、T3时均低于对照组(P<0.05)。结论 肝癌患者手术中,应用控制性低中心静脉压技术能有效控制术中出血量和改善血气指标。Objective To explore effect of controlled low central venous pressure technology on bleeding volume and blood gas indicators of liver cancer patients.Methods The paper chose 58 liver cancer patients admitted to Nantong City the Third People's Hospital from May 2020 to May 2023as study subjects,and and randomly divided them into experimental group and control group,with 29 cases in each group.Experimental group was treated with controlled low central venous pressure(LCVP),while control group with normal central venous pressure(CVP).Bleeding volume and arterial blood gas indicators in the beginning of surgery(T1),end of liver resection(T2),and end of surgery(T3) were compared and analyzed between two groups.Results Intraoperative bleeding and blood transfusion in experimental group was lower than control group(P< 0.05).The pH value,residual alkaLI(BE),and bicarbonate(HCO3) in experimental group was lower than control group at T2 and T3(P<0.05).Conclusion During surgery for liver cancer patients,controlled low central venous pressure technology can control intraoperative bleeding and improve blood gas indicators effectively.

关 键 词：控制性低中心静脉压技术 肝癌 出血量 血气指标 

分 类 号：R735.7[医药卫生—肿瘤]