摘要
目的研究限制性输液在感染性休克患者围手术期麻醉中的应用。方法选取我院2014年7月至2017年7月收治的感染性休克患者80例,将采用限制性输液的40例患者作为观察组,将采用充分液体复苏的40例患者作为对照组,对两组的相关指标进行对比分析。结果观察组的术后并发症发生率为25.0%,显著低于对照组的57.5%(P<0.05)。观察组的CVP、MAP、Pa O2、HR、术中出血量、尿量和总输液量均显著优于对照组(P<0.05)。结论将限制性输液应用于感染性休克患者的围手术期麻醉中,可明显改善患者的组织血流灌注情况,有效减少术中出血量及术后并发症。
Objective To study the application of restrictive infusion during perioperative anesthesia in patients with septic shock. Methods 80 cases of patients with septic shock admitted to our hospital from July 2014 to July 2017 were selected. 40 cases of patients with restrictive infusion were set as the observation group, and 40 cases of patients with adequacy fluid resuscitation were set as the control group. The related indicators of two groups were compared. Results The incidence of postoperative complications of observation group was 25.0%, significantly lower than 57.5% of control group （P 〈0.05）. The CVP, MAP, PaO2, HR, intraoperative blood loss, urine volume and total infusion volume of observation group were significantly better than those of control group （P 〈0.05）. Conclusions The application of restrictive transfusion for patients with septic shock during perioperative anesthesia can obviously improve the blood perfusion of tissue, and effectively reduce the intraoperative blood loss and postoperative complications.
出处
《临床医学工程》
2017年第12期1677-1678,共2页
Clinical Medicine & Engineering
基金
广东省医学科学技术研究基金项目(项目编号:B2015113)
关键词
感染性休克
围手术期
麻醉
限制性输液
充分液体复苏
Septic shock
Perioperative period
Anesthesia
Restrictive infusion
Adequate fluid resuscitation
