围术期目标导向液体治疗在妇科腔镜手术患者围术期的应用效果
The Application Effect of Perioperative Goal Oriented Liquid Therapy in Gynecological Laparoscopic Surgery Patients during the Perioperative Period
李新 1程亮1
作者信息
- 1. 安徽蚌埠市第三人民医院麻醉科,蚌埠,233000
- 折叠
摘要
目的:探讨围术期目标导向液体治疗(GDFT)在妇科腔镜手术患者围术期的应用效果.方法:选取2022年1月至2022年10月蚌埠市第三人民医院收治的行妇科腔镜手术患者80例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组40例.观察组围术期基于心排量监测技术予以患者GDFT,对照组围术期常规补液.比较2组术中胶体、晶体的输入量、总输液量以及尿量、去甲肾上腺素(NE)使用量和低血压发生数,匹兹堡睡眠质量指数(PSQI)评估量表评价2组睡眠质量.结果:观察组晶体输入量、胶体输入量、总输液量、NE使用量、低血压发生率低于对照组,(P＜0.05);尿量多于对照组(P＜0.05).观察组术后第1天PSQI评分高于对照组(P＜0.05).结论:围术期予以妇科腔镜手术患者GDFT可以获得较常规补液更满意的容量状态,对改善患者术后早期睡眠质量也可能具有积极作用.
Abstract
Objective:To explore the application effect of perioperative goal-oriented fluid therapy(GDFT)on perioperative vol-ume and postoperative sleep quality in patients undergoing gynecological laparoscopic surgery.Methods:Randomly divide 80 pa-tients undergoing gynecological laparoscopic surgery at the Third People's Hospital of Bengbu City from January 2022 to October 2022 into two groups,with 40 patients in each group.The observation group received GDFT based on cardiac displacement monito-ring technology during the perioperative period,while the control group received routine fluid replacement during the perioperative period.Compare the input volume of colloids and crystals,total infusion volume,urine volume,norepinephrine(NE)usage,and in-cidence of hypotension between two groups during surgery,and evaluate the sleep quality of the two groups using the Pittsburgh Sleep Quality Index(PSQI)assessment scale.Results:The experimental group had less crystal input,colloid input,total infusion volume,NE usage,and the incidence of hypotension was lower than the control group;urine volume was higher than the control group,with statistical significance(P＜0.05).On the first day after surgery,the PSQI of the experimental group was higher than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion:Patients undergoing gynecological laparoscopic surgery during the perioperative period can achieve a more satisfactory volume state with GDFT compared to conven-tional fluid replacement,which may also positively improve patients'early postoperative sleep quality.
关键词
妇科腔镜手术/目标导向液体治疗/容量管理/睡眠质量/去甲肾上腺素/匹兹堡睡眠质量指数/女性/低血压Key words
Gynecological laparoscopic surgery/Targeted liquid therapy/Capacity management/Sleep quality/Noradrenaline/Pittsburgh Sleep Quality Index/Female/Hypotension引用本文复制引用
基金项目
蚌埠市科技创新指导项目(2021)(20210316)
出版年
2024
国家科技期刊平台
NSTL
万方数据