摘要
目的 :探讨腹部外科手术后低磷血症的发生率 ,补磷的时机、剂量及其在普外患者术后康复中所起的作用。方法 :检测补磷组和无补磷组各 45例患者术前及术后第 1,3,5 ,6天的血磷浓度。结果 :无补磷组术后91.1% (41/ 45 )的病例发生低磷血症 ,补磷组术后 5 7.8% (2 6 / 45 )的病例发生低磷血症。补磷组补磷后 (术后第 3,5 ,7天 )的血磷浓度均较同时期无补磷组的为高 (P <0 .0 0 1,P <0 .0 5 ,P <0 .0 1) ;补磷组补磷前后A pacheⅡ评分均值比较有降低 (P <0 .0 0 1)。结论 :术后补磷可有效地纠正腹部外科手术后低磷血症的发生 。
Objective:In order to explore the prevalence of hypophosphatemia in postoperative patients of abdominal surgery,as well as the time and dosage of phosphate replacement and its effects,serum phosphate levels of 45 patients with phosphate replacement begun on the second postoperative day and 45 without replacement were monitored at the preoperative day,and the first,third,fifth and seventhpostoperative day.Results:The incidence of hypophosphatemia was 91.1%(41/45) in cases without phosphate replacement.While it was 57.8%(26/45) in those with replacement.The serum phosphate concentrations in cases with phosphate replacement were higher than those without replacement on the third ( P <0.001),fifth ( P <0.05) and seventh ( P <0.01) postoperative day.The Apache Ⅱ scores in cases with phosphate replacement decreased on the third postoperative days compared with those on the first day ( P < 0.01 ).Conclusions:The replacement of phosphates can avert the occurrence of hypophosphatemia and improve the Apache Ⅱ score.
出处
《中国现代医学杂志》
CAS
CSCD
2001年第9期33-34,共2页
China Journal of Modern Medicine
关键词
腹部外科手术
低磷血症
补磷
防治
Abdominal Surgery Operation
Hypophosphatemia
Replacement of Phosphate