全身麻醉下胃肠手术患者行术中目标导向容量治疗的效果探讨

目的 探究全身麻醉下胃肠手术患者实施术中目标导向容量治疗的效果.方法 70例全身麻醉下胃肠手术患者,以系统抽样法分为研究组与对照组,各35例.对照组进行传统术中液体治疗,研究组采用术中目标导向容量治疗.比较两组肠蠕动恢复时间、住院时间、并发症发生情况.结果 研究组肠蠕动恢复时间(3.71±1.62)d、住院时间(10....

Discussion on the effect of intraoperative target-oriented volume therapy for patients undergoing gastrointestinal surgery under general anesthesia

Objective To investigate the application effect of intraoperative target-oriented volume therapy for patients undergoing gastrointestinal surgery under general anesthesia.Methods A total of 70 patients undergoing gastrointestinal surgery under general anesthesia were divided into research group and control group by systematic sampling,with 35 cases in each group.The control group received traditional intraoperative fluid therapy,and the research group received intraoperative target-oriented volume therapy.The recovery time of intestinal peristalsis,the hospitalization time,and complication rates were compared between the two groups.Results The recovery time of intestinal peristalsis(3.71±1.62)d and hospitalization time(10.25±2.09)d in the research group were shorter than(46.5±1.76)and(12.24±2.27)d in the control group,and the difference was statistically significant(P<0.05).The incidence of intestinal obstruction and nausea and vomiting in the research group were 8.57% and 11.43%,which were lower than 31.43% and 40.00% in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of hypotension and arrhythmia between the two groups(P>0.05).Conclusion Target-oriented volume therapy has significant clinical efficacy on patients undergoing gastrointestinal surgery under general anesthesia,which can effectively shorten the hospitalization time of patients,reduce the risk of postoperative intestinal obstruction and other complications,and has higher safety.