中分子羟乙基淀粉容量治疗对患者预后的影响.pdfVIP

? 372 ? 现代预防医学 2∞8 年第 35 卷第 2 期 Modem Preventive Medici圃， 2008 , VoL35 , NO.2 文.编哥: 1∞3-8507(20081ω-0372--04 中图分类号 :R归7.8 文献标识码 :A 【临床与预防】 中分子短乙基淀粉容量治疗对患者预后的影响 尹杰，李边，社正贵，李甫强，冯曦，暴错 / 摘要: [目的]比较中分子经乙基淀粉与自蛋白容量治疗腹部手术术后并发症的效果。(方法]采用临床对照 l 试栓，将 60 例腹部择期术后患者随机分为中分子搓乙基淀粉组(试验组) ，自蛋白组(对照组)。采用静吸复合会廓， 术后当日开始进行容量治疗纠正循环障碍，记录患者术后的生命体征、液体出入量、术后实验室检查指标及术后并发 症。[结果]试验组术后总蛋白、自蛋白降低明显， d2 尿红细胞数、 d4 血尿素氮低于对照组， d 2 血糖高于对照组， 术后恢复流食时间、容量治疗的总费用小于对照组。对照组术后并发症发生率略低于试跄组，两组间差异无统计学意义 (P=0.75). [ 结论]中分子亵乙基淀粉可替代白蛋白用于术后容量治疗并能使病人较快恢复流质饮食，节约病人容量 治疗的费用。 1 关键词:中分子挂乙基淀粉 z 白蛋白 z 并发症 1/1 /, ， ///t 川 1/11/::; I 吻 剧FLUENCE OF THE V ALUE OF MIDDLE MOLECULE HYDROXYETHYL STARCH ON THE PROGNOSIS OF PATIENTS Y IN Jie, U 80 , DU Zheng-gui , et 01. (Departme nJ, 0/ General Surge厅. West China hospital , Sichuan Univers峙 ? Chengdu 61ω41 ， China) Abstract: [ Obj臼tive] To investigate the progn倒四 effect of patients treated byωing hydroxyethyl starch (HES) wi由 f 出at by using human alhumin (HA) after 严炮t ahdominal operation. (Methods J By cinical control trail me也叫， ωpatients after major abdominal operation 阴re randomly divided into HA ( experiment group) group 皿d HES group (∞ntrol group). .M- 协rin国.ventous-inhalation cornhined anesthe由ia ， all pa岳阳ts were trea始d by volume therapy to con田t circulatory disorder in 由e day after operation. Moreover , index臼 were r琶corded after operation such 88 the vital signs ，也e volume of liquid intake and output , index创 of laboratory examination and cornplication. [Results] The volume of serum protein and alburnin，也e RBC of d2 in urine and BUN of d4 were signific皿ùy lower experiment group 出皿 thωe in control group. 咀le 出ne of 伊副呻erative re- ∞very for having 11山d food 皿dcω，t of fluid management in experiment 伊oup w臼 found ωbesi伊ificanùy lower than tho幅 in con国11 group. The complication rate in expe由nent group w臼 slighùy lower 由皿也at in controls 响曲。ut significanùy difference (P = 0.75). [Conclusion] The less expensive HES is 88 踊fe 皿d efIective as HA on 由e patien饵 under-going major 曲d