术后流体和电解质管理中的常见陷:孟加拉国两家三级中心的回顾性研究
R M Zakaria1, M A Nur, S M Ahsan
1Dr Reza Md Zakaria, Speciality Trainee, Singleton Hospital, Swansea, UK;
Mymensingh medical journal : MMJ
|July 1, 2023
概括
这项研究评估了手术后的液体和电解质管理,确定了97名患者的低血. 一个拟议的途径旨在优化流体饮食方案,以获得更好的患者结果.
科学领域:
- 医学科学 医学科学 医学科学
- 临床实践 临床实践
- 患者护理 患者护理
背景情况:
- 手术后的液体和电解质平衡对于患者的康复至关重要.
- 目前的流体管理实践可能会导致诸如低血等并发症.
- 需要标准化的协议来确保最佳的患者护理.
研究的目的:
- 评估目前在术后期的流体和电解质管理实践.
- 为了确定低血和其他电解质失衡的发生率.
- 为术后护理提出适当的流体饮食方案.
主要方法:
- 758名手术患者的药物表和临床笔记的回顾分析 (2020年1月 - 2022年1月).
- 应用了纳入标准,结果有407名患者进行数据分析.
- 由三个临床医生进行手动审查,以评估补液,,和葡萄糖水平.
主要成果:
- 平均液体补充量为每天2.5升,平均电解质水平为每天154毫米,每天2.0毫米和每天125毫米葡萄糖.
- 手术后,97名患者 (23.8%) 患有低血,其中25名 (6.1%) 患有严重的低血.
- 观察到大量的低血发病率,表明需要修订流体管理策略.
结论:
- 目前的术后液体和电解质管理需要优化.
- 建议在手术后的第一天使用一种简单的液体和电解质处方途径.
- 拟议的途径包括对水,,化物,和葡萄糖的具体建议,以防止失衡.
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