摘要
目的:观察结肠癌患者肠道准备前后血浆渗透压的变化。方法:选择ASAⅠ～Ⅱ级,心血管功能正常,行结肠癌根治术的患者40例,术前均服用和爽(复方聚乙二醇电解质散)做肠道准备,分别于入院当日清晨(T1)、入手术室开放静脉前(T2)抽血测量血浆胶体渗透压(COP)的数值和血电解质(Na+、Cl-)的数值并记录。结果:患者血浆COP值T2较T1显著升高(P<0.01);血电解质T2与T1相比无统计学差异(P>0.05)。结论:行结肠癌根治术患者术前的肠道准备使其血浆COP值在正常范围内显著升高,晶体渗透压无明显变化。提示术前可给患者补充适量晶体液而不急于补充胶体液。
Objective: To investigate the changes of plasma osmotic pressure after bowel preparation in patients with colon cancer.Methods: There were 40 patients(ASA gradeⅠ～Ⅱ,with normal cardiovascular function) undergoing radical colon cancer surgery.All patients in the study were applied with polyethylene glycol electrolyte powder in the preoperative bowel preparation.Blood samples were collected in the morning of hospitalization(T1) and in the operation room before open venous(T2) and the plasma colloid osmotic pressure(COP) and electrolytes(Na+,Cl-)were determined immediately.Results: The plasma COP of T2 was higher than T1 prominently(P0.05).Conclusion: The results suggest that infusion of appropriate crystal solutions instead of colloidal fluid before operation is more advisable.
出处
《天津医科大学学报》
2010年第4期644-646,共3页
Journal of Tianjin Medical University
关键词
血浆渗透压
肠道准备
电解质
Plasma colloid osmotic
Bowel preparation
Electrolytes
