机器人外科学杂志（中英文）2024，Vol.5Issue(4)：597-602,6.DOI:10.12180/j.issn.2096-7721.2024.04.019
PiCCO指导下液体治疗对机器人辅助胃肠手术老年患者术中组织灌注及术后恢复质量的影响
Effects of PiCCO-guided fluid therapy on intraoperative tissue perfusion and postoperative recovery in elderly patients undergoing robot-assisted gastrointestinal surgery
摘要
Abstract
Objective:To compare the effects of PiCCO-guided fluid therapy and conventional fluid therapy on intraoperative tissue perfusion and postoperative recovery of elderly patients undergoing robot-assisted gastrointestinal surgery.Methods:43 elderly patients who underwent robot-assisted gastrointestinal tumor resection under general anesthesia in Jiangsu Province Hospital of Chinese Medicine were selected and divided into two groups using random number table method.The observation group was received PiCCO-guided fluid therapy with the targeted intraoperative infusion.The control group was guided by routine strategy to maintain intraoperative infusion.The infusion rate was adjusted according to the intraoperative infusion target,and vasoactive drugs were used to maintain hemodynamic stability if necessary.The tissue perfusion indicators at different time points during surgery in the two groups of patients were compared.The time to first flatus and defecation after surgery,time to starting liquid diet,incidence of PONV,length of hospital stay,and postoperative QoR-15 score of the two groups of patients were recorded.Results:Compared with the control group,the intraoperative infusion volume in the observation group decreased,HR decreased and MAP increased 1 hour after pneumoperitoneum(T2),ELWI and aLac decreased 5 minutes after ending pneumoperitoneum to start open surgery(T3)(P<0.05).However,there was no statistically significant difference(P>0.05)between the two groups in terms of postoperative complications,postoperative flatus and defecation,postoperative diet,length of hospital stay,and QoR-15 scores.Conclusion:PiCCO-guided fluid therapy can effectively maintain hemodynamic stability during surgery,reduce intraoperative lung fluid,and facilitate tissue perfusion.关键词
机器人辅助手术/胃肠肿瘤/脉搏指示连续心输出量/组织灌注Key words
Robot-assisted Surgery/Gastrointestinal Tumor/Pulse Index Continuous Cardiac Output/Tissue Perfusion分类
医药卫生引用本文复制引用
王蔚,李佳静,郭涛,朱娟,田伟千,杨海基,黄礼兵..PiCCO指导下液体治疗对机器人辅助胃肠手术老年患者术中组织灌注及术后恢复质量的影响[J].机器人外科学杂志（中英文）,2024,5(4):597-602,6.基金项目
江苏省中医院院级课题(Y21011) （Y21011）
江苏省中医药科技发展计划项目(WS2022018) Hospital Level Project of Jiangsu Province Hospital of Chinese Medicine(Y21011) （WS2022018）
TCM Technology Development Plan Project of Jiangsu Province(WS2022018) （WS2022018）
