摘要
目的探讨甲状腺切除术患者手术中输注不同类型液体对其术后发生恶心呕吐的影响。方法选取148例行甲状腺肿瘤切除术的患者,随机分为对照组72例和试验组76例。对照组给予复方乳酸钠注射液,试验组给予羟乙基淀粉130/0.4氯化钠注射液,比较2组术后恶心呕吐发生情况及术中输液量、出血量、尿量等指标。结果试验组术后恶心呕吐发生率(13.2%)低于对照组(26.4%)。2组输液量、出血量、尿量比较,差异无统计学意义。结论甲状腺手术患者术中采用羟乙基淀粉液补液可有效降低术后恶心呕吐的发生率,对提高手术效果具有一定的作用。
Objective To investigate effects of intravenous injection with 2 kinds of liquid in operation on postoperative nausea and vomiting （PONV） after thyroidectomy .Methods Totally 148 patients with thyroidectomy were randomly divided into experimental group （n= 76） and control group （n=72） .The experimental group was given hydroxyethyl starch 130/0 f.4 and sodium chloride injection ,and the control group was given compound sodium lactate solution . PONV rate , intraoperative fluid volume ,bleeding volume ,urine volume of two groups were compared .Results The PONV rate of experimental group（13 .2% ） was lower than that in the control group（26 .4% ） . There were no significant difference of the total fluid volume , blood loss , mean urine volume between two groups .Conclusion Rehydration therapy of hydroxyethyl starch intra-operative can effectively reduce the incidence of PONV of patients with thyroidectomy and improve the prognosis and outcome .
出处
《中国临床护理》
2014年第4期310-312,共3页
Chinese Clinical Nursing
