在接受腹部手术的患者中,在床腿下使用负载细胞进行外科手术期间的连续体重测量
Kyongsuk Son1, Kentaroh Tarao1, Yuki Hateruma1
1From the Department of Anesthesiology, Graduate School of Medicine, Chiba University (KS, NN-T, SI), Department of Anesthesiology, Chiba University Hospital, Chiba (KT, YH) and Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (YS).
European journal of anaesthesiology and intensive care
|February 7, 2025
概括
手术后体重增加与手术内流体平衡无关. 持续的体重监测为术后护理中流体和营养管理提供了新的策略.
科学领域:
- 麻醉学 麻醉学
- 外科手术的结果
- 关键护理医学 关键护理医学
背景情况:
- 手术后过度的液体平衡和体重增加与不良结果有关.
- 由于测量挑战和有限的研究,术后体重监测的临床实用性尚未得到充分证实.
研究的目的:
- 为了检查手术内流体平衡和体重变化之间的相关性.
- 在整个住院期间使用非侵入性负载细胞分析术后夜间体重变化.
主要方法:
- 在单一的大学医院进行的观察和探索性研究.
- 包括20名在全身麻醉下接受选择性腹部手术的成年患者.
- 在床脚下使用无接触式负载电池,用于连续测量体重.
主要成果:
- 手术后立即体重增加的平均值为2.7 ± 1.3公斤 (5%的增加),与手术内流体平衡 (1.5 ± 0.4公斤) 无关.
- 在术后的第三天体重正常化,并在术后的第6天显著下降.
- 夜间减肥模式持续,除了液体输注期间,观察到改变了白天运动模式.
结论:
- 外科手术期间的液体平衡和体重测量在患者管理中发挥着互补的作用.
- 持续的外科手术前体重监测可以指导流体和营养管理的新策略.
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