摘要
目的观察个体化液体治疗方案对肝癌术后患者短期预后的影响。方法选取该院2015年11月—2016年11月肝癌患者行肝切除的患者64例作为研究对象,根据术后补液原则分为观察组(35例)和对照组(29例),观察患者尿量,白蛋白测量值,中心静脉压,平均动脉压以及患者主诉症状:口渴、气短、恶心、肢体麻木、咳嗽咳痰等。监测术后肝肾功能、胸腔积液、腹水、下肢水肿、术后通气时间、拔管时间、住院时间等指标。结果该研究中两组肝肾功能术后24 h无明显差别,差异无统计学意义(P>0.05)。术后3 d观察组肝肾功能明显好转,差异有统计学意义(P<O.05)。观察组术后胸腔积液(14.3%)、腹水发生率(14.3%)明显低于对照组(37.9%、41.4%),术后通气时间(79.5±12.3)h明显短于对照组(85.7±10.1)h,住院时间(8.1±2.1)d少于对照组(9.8±3.5)d,差异有统计学意义(P<0.05)。结论个体化液体治疗方案有利于肝癌术后患者的快速康复。可以促进胃肠功能快速恢复,降低并发症发生率,达到快速康复的目的。
Objective To observe the effect of individual fluid treatment on the rapid recovery after liver cancer surgery.Methods 64 cases of liver cancer patients with liver resection in our hospital from November 2015 to November 2016 were selected and divided into the observation group with 35 cases and the control group with 29 cases according to the postoperative rehydration principle,and the urine volume and measurement value of albumin,central venous pressure,complaints of patients such as thirsty,shortness of breath,nausea,numbness of limb and cough of patients were observed and the postoperative renal and liver functions,pleural effusion,ascites,edema of lower extremity,postoperative ventilation time,tube drawing time and length of stay were monitored.Results There were no obvious differences in the renal and liver functions in 24 h after surgery,and the differences were not statistically significant(P>0.05),and the liver and renal functions were obviously improved in 3 days after surgery and the differences were statistically significant(P<0.05),and the incidence rates of postoperative pleural effusion and ascites in the observation group were obviously lower than those in the control group,(14.3%,14.3%vs 37.9%,41.4%),and the postoperative ventilation time was obviously shorter than that in the control group[(79.5±12.3)h vs(85.7±10.1)h],and the length of stay was less than that in the control group[(8.1±2.1)d vs(9.8±3.5)d],and the difference was statistically significant(P<0.05).Conclusion The individual fluid treatment plan is conducive to rapid recovery of liver cancer patients after surgery,which can promote the rapid recovery of gastrointestinal functions,reduce the incidence rate of complications and reach the goal of rapid recovery.
作者
宋庆伟
葛颂
杨小勇
李文美
SONG Qing-wei;GE Song;YANG Xiao-yong;LI Wen-mei(Department of Hepatobiliary Surgery,Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu Province,221000 China)
出处
《系统医学》
2017年第17期124-127,共4页
Systems Medicine
关键词
个体化液体治疗
肝癌
快速康复
Individual fluid treatment
Liver cancer
Rapid recovery
