| 体液平衡和微循环动态监测在腹部术后病人容量状态评估中的应用研究 |
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| 引用本文： | 薛颢,马丽英,张艳燕.体液平衡和微循环动态监测在腹部术后病人容量状态评估中的应用研究[J].护理研究,2011,25(1):37-40. |
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| 作者姓名： | 薛颢 马丽英 张艳燕 |
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| 作者单位： | 上海交通大学医学院附属仁济医院,200127 |
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| 摘 要： | 目的]评价体液平衡和微循环动态监测在腹部手术后病人容量状态评估中的作用。方法]选取我院外科病房接受腹部外科手术的成年病人300例,随机分为加强监测治疗组和常规治疗组各150例。加强监测治疗组根据2008年英国及爱尔兰外科学会《成年手术病人静脉液体治疗指南》对病人加强体液平衡的动态监测和微循环状态的观察并及时调整液体治疗方案。常规治疗组病人根据国内诊疗常规及本院以往经验进行常规的监测和治疗。收集并比较两组病人术后脏器功能不全的发生率、病死率,并对两组脏器功能不全病人的构成情况进行分析。结果]加强监测治疗组病人手术后脏器功能不全的发生率、病死率较常规治疗组显著降低,差异有统计学意义(P<0.05);心功能不全和呼吸功能不全是两组病人脏器功能不全的主要原因。结论]通过加强对腹部手术后病人容量和微循环状态的动态监测和有效评估有助于及时调整并制订合理的个体化液体治疗方案,降低手术后脏器功能不全的发生率和病死率,改善腹部手术病人的预后。
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| 关 键 词： | 腹部手术 体液平衡 微循环 容量评估 液体治疗 |
Study on application of body fluid balance and microcirculation dynamic monitoring for volume state assessment of patients after accepting abdominal surgery |
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| Xue Hao,Ma Liying,Zhang Yanyan.Study on application of body fluid balance and microcirculation dynamic monitoring for volume state assessment of patients after accepting abdominal surgery[J].Chinese Nursing Researsh,2011,25(1):37-40. |
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| Authors: | Xue Hao Ma Liying Zhang Yanyan |
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| Institution: | Xue Hao,Ma Liying,Zhang Yanyan(Affiliated Renji Hospital of Medical College of Shanghai Jiaotong University,Shanghai 200127 China) |
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| Abstract: | Objective:To evaluate the effect of body fluid balance and microcirculation dynamic monitoring in volume state assessment for patients after accepting abdominal surgery.Methods: A total of 300 adult patients accepted abdominal surgery in surgical wards in our hospital were selected and randomly divided into test group and control group 150 cases each.Patients of test group were strengthened the dynamic monitoring of fluid balance and observation of microcirculation state and adjusted fluids treatment regime... |
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| Keywords: | abdominal surgery fluid balance microcirculation volume assessment fluid therapy |
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