中国实用外科杂志2012，Vol.32Issue(10)：853-855,3.
围手术期限制性液体治疗对老年病人术后并发症和预后的影响
Effect of perioperative restrictive fluid treatment on postoperative complication in elder patients
俞瑞东 1陆小川 1宋晓华 1胡勇杰 1韩冰 1陈贞 1唐健雄2
作者信息
- 1. 复旦大学附属华东医院SICU,上海200040
- 2. 复旦大学附属华东医院普外科,上海200040
- 折叠
摘要
Abstract
Objective To compare the outcome of restricted or standard intravenous fluid regimen in perioperative elder patients. Methods This study was designed as a prospective and randomized controlled trial. After informed consent was obtained, patients were allocated to either restricted or standard fluid regimen group. The primary end point was postoperative complications, including intestinal, heart, renal 、 and respiratory function, and the death rate, hospital stay and cost were also observed. Results A total of 65 patients were assigned to restricted group(n=33) or standard group(n=32). The total fluid volume, total postoperative complications, hospital stay and cost were significantly reduced in restricted group when compared with those in standard group. However, there were no significant differences on the incidence of heart failure, lung infection, incision infection , and intestinal recover time between two groups. Conclusion For elder patients who undergo elective surgery, perioperative restrictive fluid management may be more beneficial, because it would reduce total postoperative complications and decrease hospital stay and expenses.关键词
限制性液体治疗/老年病人/术后并发症Key words
restrictive fluid treament/ elder patients/postoperative complication分类
医药卫生引用本文复制引用
俞瑞东,陆小川,宋晓华,胡勇杰,韩冰,陈贞,唐健雄..围手术期限制性液体治疗对老年病人术后并发症和预后的影响[J].中国实用外科杂志,2012,32(10):853-855,3.
