协和医学杂志

2018, v.9(06) 550-555

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术中目标导向液体治疗在加速康复外科中的应用
Application of Intraoperative Goal-directed Fluid Therapy in Enhanced Recovery after Surgery

许广艳;许力;
XU Guang-yan;XU Li;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

摘要(Abstract):

目标导向液体治疗作为加速康复外科的重要组成部分,在加速大型手术术后康复、改善其预后方面的作用令人关注。基于现有的文献报道,本文总结了目前临床上常用的目标导向液体治疗的监测方法、观察指标和液体选择,并分别探讨加速康复外科模式下目标导向液体治疗在胃肠手术、胸科手术、肝脏手术、头颈部恶性肿瘤手术中的应用及影响。结果表明,目标导向液体治疗应用于大型手术术中液体管理具有显著优势,可降低术后并发症发生率,缩短住院时间,加速术后康复和改善预后。
Goal-directed fluid therapy( GDT),as an important part of enhanced recovery after surgery( ERAS),is of great concern in accelerating the recovery and improving the prognosis after major surgery.Based on existing reports,we summarized some monitoring methods,observation indexes,and liquid selections commonly used in clinical practice,and discussed the application and effects of GDT of ERAS in gastrointestinal surgery,thoracic surgery,liver surgery,head and neck carcinoma surgery. The result showed that GDT had significant advantages for fluid management in major surgery,including decreasing overall complication rate,reducing hospital stays,accelerating recovery,and improving prognosis.

关键词(KeyWords): 目标导向液体治疗;加速康复外科;大型手术;预后
goal-directed fluid therapy;enhanced recovery after surgery;major surgery;prognosis

Abstract:

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基金项目(Foundation): 2016年贝朗麻醉科学研究基金(BBDF-2016-001);; 中国医学科学院医学与健康科技创新工程(2016-12M-3-024)

作者(Author): 许广艳;许力;
XU Guang-yan;XU Li;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

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