术中液体治疗对剖宫产患者术后并发症影响的前瞻性对照研究

发布时间：2018-08-21 08:59

【摘要】：目的观察剖宫产术中液体量、液体种类对患者术后相关并发症的影响。方法选择剖宫产患者320例,采用随机数字表法将其分入限制性晶体组、限制性胶体组、开放性晶体组和开放性胶体组,每组80例,分别予限制性晶体液10 mL/kg、限制性胶体液10 mL/kg、开放性晶体液20 mL/kg和开放性胶体液20 mL/kg处理,术后随访患者产后出血、产后感染、肠梗阻发生率和不良反应总发生率,以及产后24 h内的出血量和首次排气时间。结果4组间产后出血、产后感染、肠梗阻发生率和产后不良反应总发生率的差异均无统计学意义(P值均0.05)。限制性晶体组和限制性胶体组产后24 h内的出血量显著少于开放性胶体组(P值均0.05)。限制性晶体组和开放性晶体组患者术后首次排气时间显著晚于开放性胶体组和限制性胶体组(P值均0.05)。结论剖宫产术中予限制性胶体治疗可促进患者术后胃肠功能恢复,不增加术后出血量,可作为剖宫产手术的合理液体治疗方案。
[Abstract]:Objective To observe the effect of fluid volume and types on postoperative complications in cesarean section.Methods 320 cases of cesarean section were randomly divided into restrictive lens group, restrictive colloid group, open lens group and open colloid group. Postpartum hemorrhage, postpartum infection, incidence of intestinal obstruction and total incidence of adverse reactions, as well as the amount of bleeding and the first exhaust time within 24 hours after delivery. Results Postpartum hemorrhage, postpartum infection, incidence of intestinal obstruction and postpartum adverse reactions were observed in the four groups. There was no significant difference in the total incidence (P 0.05). The amount of bleeding within 24 hours postpartum in the restrictive lens group and the restrictive colloid group was significantly less than that in the open colloid group (P 0.05). The first postoperative exhaust time in the restrictive lens group and the open lens group was significantly later than that in the open colloid group and the restrictive colloid group (P 0.05). Conclusion Limited colloid therapy during cesarean section can promote the recovery of gastrointestinal function without increasing the amount of bleeding. It can be used as a reasonable liquid therapy for cesarean section.
【作者单位】：上海市浦东医院麻醉科;
【基金】：浦东新区卫生局卫生科技项目资助(PW2013A-13)
【分类号】：R614

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