控制性低中心静脉压应用于肝切除术的麻醉护理

发布时间：2018-03-12 17:15

本文选题：控制性低中心静脉压　切入点：肝切除术　出处：《赣南医学院学报》2016年01期 　论文类型：期刊论文

【摘要】：目的:探讨低中心静脉压技术应用于肝切除术患者的围手术期护理。方法:选择2010年1月~2012年1月择期行肝切除术的患者66例,分成对照组和低中心静脉压组(LCVP组)各33例。观察患者术中尿量、液体输入量、失血量、输血量,并比较两组患者凝血功能和血小板的差异。结果:LCVP组术中晶体输入量和出血量明显减少,手术时间缩短(P0.05),而两组的胶体输入量和尿量无明显差异;两组患者术后24 h的血小板计数(PLT)、凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)、纤维蛋白原定量(FIB),有显著性差异(P0.05)。结论:控制性低中心静脉压技术可减少肝切除术中出血量,维持凝血功能,保护血小板。护士积极配合麻醉医生,加强围手术期护理,对顺利完成手术,保障患者手术安全和减少并发症有重要意义。
[Abstract]:Objective: to explore the perioperative nursing care of patients undergoing hepatectomy with low central venous pressure. Methods: 66 patients undergoing hepatectomy from January 2010 to January 2012 were selected. The patients were divided into control group (33 cases) and low central venous pressure group (LCVP group 33 cases). Results in the two groups, the volume of lens input and blood loss were significantly decreased, the operation time was shortened (P 0.05), but there was no significant difference between the two groups in the amount of colloid input and urine volume. The platelet count (PLT), prothrombin time (PTT), activated partial prothrombin time (APTTT) and fibrinogen quantification (FIBT) were significantly different between the two groups 24 h after operation (P 0.05). Conclusion: the controlled low central venous pressure technique can reduce the amount of blood loss during hepatectomy. Nurses cooperate with anesthesiologist actively, strengthen perioperative nursing care, which is of great significance for the successful completion of the operation, the safety of patients and the reduction of complications.
【作者单位】：广东省东莞市人民医院麻醉科;
【基金】：广东省东莞市科技计划医疗卫生类项目(201010515000078)
【分类号】：R472.3

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