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结直肠肿瘤患者术后延迟性肠麻痹与术中液体管理情况的相关性

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目的:探讨结直肠肿瘤患者术后延迟性肠麻痹与术中液体管理情况的相关性。方法:选择2022年3月1日至2024年2月29日于我院择期接受结直肠肿瘤根治性手术治疗的80例患者,回顾其临床资料、术中液体管理相关指标及术后延迟性肠麻痹发生情况,分析它们的相关性。结果:术后延迟性肠麻痹发生率为31。25%(25/80)。术后发生延迟性肠麻痹组患者住院时间明显延长,住院费用明显增加,P<0。05。手术方式(腹腔镜/开腹手术)、术中液体输入量、术中液体平衡量、术中舒芬太尼用量、术后自控镇痛是术后肠麻痹发生的独立影响因素,P<0。05。结论:结直肠患者术后延迟性肠梗阻会延长住院时间,增加患者经济负担,其发生除与手术方式、麻醉方式及麻醉药用量有关外,与术中液体输入量、术中液体平衡量亦相关,因此围手术期应控制补液。
Association Between Postoperative Delayed Enteroparalysis and Intraoperative Fluid Management in Patients with Colorectal Tumors
Objective To investigate the relationship between postoperative delayed enteroparalysis and intraoperative fluid management in patients with colorectal tumor.Methods A total of 80 patients who received radical operation for colorectal tumors in our hospital from March 1st,2022 to February 29th,2024 were selected to retrospect their clinical data,indicators related to intraoperative fluid management and the incidence of postoperative delayed enteroparalysis to analyze their correlation.Results The incidence of delayed enteroparalysis was 31.25%(25/80).The hospital stay of patients with postoperative delayed en-teroparalysis was significantly prolonged,and the hospitalization cost was significantly increased(P<0.05).Operative method(laparoscopy/open operation),intraoperative fluid input,intraoperative fluid bal-ance,intraoperative sufentanil dosage and postoperative controlled analgesia were independent factors af-fecting the occurrence of postoperative enteroparalysis(P<0.05).Conclusion Postoperative delayed enteroparalysis in patients with colorectal tumor may prolong hospital stay and increase the financial bur-den of patients.The occurrence is related not only to the operation method,anesthesia method and anes-thetic dosage,but also to the intraoperative fluid input and intraoperative fluid balance.Therefore,fluid in-fusion should be controlled during perioperative period.

Colorectal tumorOperationIntraoperative fluid managementPostoperative delayed enter-oparalysisCorrelation

崔燕鸽、王丽

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驻马店市中心医院手术部(河南 驻马店 463000)

结直肠肿瘤 手术 术中液体管理 术后延迟性肠麻痹 相关性

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(11)