术前应用6%羟乙基淀粉行急性高容量血液稀释对老年患者动脉压及氧代谢的影响.pdfVIP

齐鲁护理杂志 2∞7 年第 13 巷第 10 期 术前应用 6% 起乙基淀粉行急性高容量血液稀释 对老年患者动脉压及氧代谢的影响 庸髓，蔡桂搭 (聊城市人民医盹 山东聊城 252ω0) 摘 要 阔的:探讨应用 6% 雍乙基淀粉行急性高容受血液稀稀(AHH) 对老年患者动脉压和氧代谢的影响。 方法:随机选择腹部择期手术的老年患者 40 例，随机分为两纽，A 级为高容萤血液稀释组，B 组为非血液稀释组。 B 纽入3在后补充基础1..理需妥受II禁食丧失需要素。 A 纽患者以 25m1/min 的速率输入 6% 残乙基淀粉 7mνkg 后诱 导，同时继续输入这 15mνkg 行高容量血液稀稀，分别监测记录基础值(To ) 、诱斗争后枪管前(飞)、枪管后即刻(飞)、 插管后 5min(T)) 、lOmin(T4 ) 、20min(T5 ) 、切皮前(飞)的平均动脉压(MAP) 、心牟(HR) 、中心静脉压(CVP) 。经挽 动脉取.m.测血气、Lac o 结果 :A 纽患者诱导前后 MAP 元显著性j是异 (P 0. 05) ， B 纽诱导后 MAP .}t.著降低 (P 0.05) ，与同时相 A 组比校有显著性差异(P0.05)o A 纽 CVP 插管后 5min(飞)与基础值(To ) 比较有显著性差异 (P 0. 05) ，与问时相 B 组比较有显著性差异(P 0. 05 )，两组患者 HR 诱导后减慢(P 0. 05) 0 A 纽血红蛋白 (Hb) 、细胞lE.积( Hct)在此液稀释后显著降低(P 0.05) 。两组成气、Lac，(:t.血液稀锋前后无.}t.著除变化 (P 0.05) 。结论:适度 AHH 有利于维持老年患者血液动力学的稳定，而氧代谢改变不明显，值得临床椎广。 关键诩 雍乙基淀粉;急性高容量血液稀锋:动脉压;筑代谢 中回分提号 :R473.6 文献标识码 :A 文章编号:1ω6 - 7256 ( 2007 ) 10 -∞14 -02 E何时t of acute hypervolemic hemodilution by using 6% hydroxyethyl starch on a阶erial pressure and oxygen metabolism in aged patients Ta略 Yu ， Cai Guifen (Peoples Hospital 01μωcheng Munícípalíty ， μωcheng Shandong 252创泊 ， Chinα} Abstract Objective: To explore the effecl of acute hypervolemic hemodilution by using 6% hy巾。xyethyl starch on ar- lerial pressure and oxygen metabolism in 锦州 patients. Methods: F orty patíents receívíng timing 叫自elective abdominal sur- gery were randomly divided ínto 2 groups , hypervolemíc hemodilution group (Group A) and non - hypervolemic hemodilu- tion 颜。up (Group B). Patíents in Group A were given general transfusion for supplying basic required volume in physíology and lost volume due to fasting , patients ín group B were ínfused 6% hydroxyethyl starch in 7mνkg by velocity of25mνmín to índuce and hy命Oxyethyl starch was continually infused to 15mνkg 10 make hypervolemic hemodilution. MAAP , HR and CVP were monitored and recorded before inductíon of anesthesia (10 , baseline) ; before tracheal intubation (飞) ; after tra- cheal íntuhation immediately (T 2 ) ; 5 , 10 and 20 min. after intuhation (飞，飞，飞) a