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Updated: Feb 20, 2026

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在主要腹部瘤手术中,作为目标导向液体治疗,对中风体积变化和充血镜变化指数进行了比较研究

Kulkarni Anita Chandrashekhar¹, Kaur Mohinder Jeet²

¹Department of Anaesthesia, Andromeda Cancer Hospital, Sonipat, Haryana, India.

Saudi journal of anaesthesia

|February 19, 2026

概括

在主要的腹部手术中,整流量变量指数 (PVI) 是流体响应的更敏感的预测指标,而不是中风体积变量 (SVV). 这两个动态变量都指导流体治疗,减少并发症和住院时间.

科学领域:

麻醉学麻醉学
关键护理医学关键护理医学
手术瘤学手术瘤学

背景情况:

目标定向流体疗法 (GDFT) 使用动态变量优化组织氧气输送.
一项前性随机研究比较了SVV和PVI的流体反应和主要腹部手术的结果.

研究的目的:

为了比较SVV和PVI在预测流体响应性的有效性.
用这些动态变量来评估流体需求和术后并发症.

主要方法:

68名接受了重大腹部瘤手术的患者被随机分为SVV或PVI组.
使用特定分析仪测量了SVV和PVI,用合体玻尿酸注射的值>11.
评估了流体反应,需求和术后结果.

主要成果:

在两组中,流体反应率高且可比 (SVV 84.7%,PVI 83.8%).
与SVV (AUC 0.50) 相比,PVI作为流体响应的预测指标表现出更高的灵敏度 (AUC 0.70).
在PVI组中所需的晶体较少;观察到更早的肠道声音 (P < 0.03).

结论:

SVV和PVI都在指导流体治疗和改善结果方面有效.
对于预测流体响应性,PVI是一个比SVV更敏感的动态变量.
与PVI一起的GDFT可能会导致手术后并发症减少和ICU停留时间缩短.

关键词:

目标导向的流体治疗在整形外科手术上.整体瘤学变化指数的变化指数.动脉冲动量变化的变化

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