在胃肠道外科手术中使用麻醉治疗的患者中,手术内定向流体治疗的效果
Jun Zhang1, Xiao-Wen Li2, Bing-Feng Xie3
1Department of Anesthesiology, The Second Hospital of Longyan, Longyan 364000, Fujian Province, China. 13799071729@163.com.
World journal of gastrointestinal surgery
|October 1, 2024
概括
在胃肠道外科手术中的目标导向流体治疗 (GDFT) 显著改善了患者的治疗结果. 这种方法优化了流体管理,导致更快的恢复和手术患者更短的住院时间.
科学领域:
- 麻醉学 麻醉学
- 手术瘤学手术瘤学
- 关键护理医学 关键护理医学
背景情况:
- 在胃肠道外科手术中,手术内流体管理至关重要.
- 目标导向流体治疗 (GDFT) 通过实时监测和流体调节优化了患者的生理学.
研究的目的:
- 评估在接受胃肠道外科手术的患者手术内GDFT的疗效.
- 评估GDFT对术后康复,并发症率和住院时间的影响.
主要方法:
- 对60名胃肠道手术患者进行了回顾性比较研究.
- 实验组 (30名患者) 接受了GDFT;对照组 (30名患者) 接受了传统的流体管理.
主要成果:
- GDFT组显示,手术内流血量显著减少 (296.64毫升 vs 470.05毫升),尿量改善 (415.13毫升 vs 239.15毫升).
- 手术后恢复时间 (5.44天 vs 7.59天) 和住院时间 (10.87天 vs 13.65天) 在GDFT组显著缩短.
- GDFT组报告疼痛得分较低,心脏输出量增加 (5.99 L/min vs 4.88 L/min),脉冲压变化减少 (10.87% vs 17.5%).
结论:
- 在胃肠道外科手术中,手术内GDFT显著增强了术后恢复.
- GDFT的应用减少了并发症的发生率,缩短了住院时间.
- 通过GDFT实时流体优化对手术患者来说是有益的.
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