术后液体管理在结直肠外科快速流程中的应用进展

Progress of Postoperative Fluid Administration for Colorectal Surgery in Fast Track

目的探讨术后液体管理在结直肠外科快速流程(fast track)中的应用进展。方法查阅有关液体管理与结直肠外科的文献并进行分析。结果相对于术后开放补液,限制补液可以减少并发症发生率,减少住院时间和改善术后生存率。晶体胶体联合补液优于单纯使用晶体液。结论术后补液量和补液类型影响患者的康复情况,这也是快速流程所关注的问题。

Objective To investigate the application progress of postoperative fluid administration in colorectal surgery. Methods Literatures about the advancement of fluid administration in colorectal surgery were reviewed and analyzed. Results Compared to standard fluid management, restrictive fluid administration could reduce the incidence of complications, the length of stay in hospital and improve postoperative survival rate. Colloid-crystalloid combined therapy was better than that pure crystal therapy. Conclusion Volume and type of rehydration influence postoperative recovery, which is also considered in ＂fast track＂ colorectal surgery.