摘要
高龄老年患者髋部手术量逐年增加,老年患者身体衰退、器官功能减低及各项生理机能下降,如何降低患者围术期风险、减少血流动力学波动、减少术后并发症、改善患者预后成为目前关注的热点问题。近年来,临床广泛倡导的目标导向液体治疗,根据各项血流动力学指标即时指导围手术期补液,促进患者整体转归。本文就现阶段目标导向液体治疗方法在围手术期的临床应用及探索,以及在高龄老年患者髋部手术中的研究进展进行综述。
The number of hip operations in elderly patients is increasing year by year. Due to physical decline, organ function reduction and physiological function decline in elderly patients, how to reduce perioperative risk, reduce hemodynamic fluctuations, reduce postoperative complications and improve patient prognosis has become a hot issue of concern. In recent years, goal-oriented fluid therapy, which is widely advocated in clinical practice, provides immediate perioperative fluid replenishment according to various hemodynamic indicators to promote the overall outcome of patients. This article reviews the clinical application and exploration of goal-directed fluid therapy in perioperative period and the research progress in hip surgery in elderly patients.
出处
《临床医学进展》
2024年第4期1782-1787,共6页
Advances in Clinical Medicine
