全髋关节置换术前高容性血液稀释对术中血压的影响及护理.pdfVIP

全髋关节置换术前高容性血液稀释 对术中血压的影响及护理 李伟凤 (东莞市中医院 广东东莞523005) 摘要 目的：探讨全髋关节置换术前高客性血液稀释(AHH)对术中血压的影响及护理方法。方法：将择期 行全髋关节置换术患者40例随机分成观察组和对照组各20例，观察组采用AHH后行腰硬联合麻醉，同时进行常 规输液。对照组行腰硬联合麻醉后进行常规输液。观察并记录两组患者各阶段血压情况。结果：观察组术中血压 变化情况与对照组比较均有极显著性差异(P0．01)。结论：对全髋关节置换术患者行腰硬联合麻醉前输入一定 量液体．可有效地预防麻醉后血压下降。 关键词全髋关节置换术；高容性血液稀释；麻醉；血压；护理 中图分类号：R473．6文献标识码：A 文章编号：1006—7256(2009)02—0018—02 of 013 blood intotal and care Effect hemodilution nursing preoperativehypervolemic intraoperativepm∞um hipreplacement 厶Wei—feng TCM (Hospitalof ofDongguanMunicipality-DongguanGuangdong523005，China) of on blood Abstract theeffect hemodilution Objective：Toexplore preoperativehypervolemic intraoperativepressure intotal and whowouldreceivetotal were replacementrando“y hipreplacementnursingcare．Methods：Fortypatients hip for hemodilutionwas dividedintoobservationandcontrol ca$eseach group group(20 group)．Preoperativehypervolemic ap’ infu-· tothe inobservationandthen were combined anesthesiaandroutine plied patients group they given spinal·。epidural after anesthesia．Theblood sion．Incontrol were routineinfusioncombined group，thepatientsgiven spinal—epidural pres— gillieofthe atVariOUS wasobservedandrecordedinboth differenceWas patients stages groups．Results：Thesignificant foundinthe of ofblood b