摘要
目的探讨监测中心静脉压的液体治疗对胃肠道术后患者的液体平衡水平、电解质水平、血流动力学的影响。方法将130例胃肠道手术后患者随机分为对照组65例(应用监测中心静脉压的液体治疗),观察组65例(普通液体治疗)检测两组患者治疗期间(术后、1、3、5 d)尿比重、钾、钠、心率、平均动脉压水平变化及呼吸、循环及其他不良事件发生率。结果两组患者治疗期间(术后、1、3、5 d)尿比重、钾、钠、心率、平均动脉压水平比较(t=5.22、5.54、5.75、6.26、5.91,P<0.05,具有显著性差异)。两组患者治疗期间呼吸、循环及其他不良事件发生率(χ2=4.23、4.56、4.65,P<0.05,具有显著性差异)。结论监测中心静脉压的液体治疗对胃肠道术后患者液体、电解质平衡及血流动力学稳定有重大意义。
Objective To explore the effect of monitoring central venous pressure liquid treatment on patients’ balance of liquid level, the electrolyte level and hemodynamics after gastrointestinal surgery. Methods 130 cases after gastrointestinal operations were randomly divided into the control group of 65 cases （liquid treatment application of monitoring central venous pressure） and the obser-vation group of 65 cases （normal fluid therapy）. The two groups were detected （after operation, 1D, 3D, 5D） on the incidence of uri-nary specific gravity, potassium, sodium, heart rate, average dynamic pulse pressure level, respiration, circulation and other adverse events during the treatment. Results There were significant differences in urine specific gravity, potassium, sodium, heart rate, mean arterial pressure level （t=5. 22, 5. 54, 5. 75, 6. 26, 5. 91, P〈0. 05, with significant difference） of the two groups （after opera-tion, 1D, 3D, 5D）. The incidences of respiratory, circulation and other adverse events of the two groups （χ2 =4. 23, 4. 56, 4. 65, P〈0. 05, SD） were significantly different. Conclusion Monitoring central venous pressure liquid treatment is of great significance for the patients with liquid, electrolyte balance and hemodynamic stability after the gastrointestinal surgery.
出处
《辽宁医学院学报》
CAS
2014年第5期43-45,共3页
Journal of Liaoning Medical University (LNMU) Bimonthly
关键词
监测
中心静脉压
液体治疗
胃肠术后
monitoring
central venous pressure
fluid therapy
gastrointestinal surgery
