Objective:To explore the effects of different infusion schemes on colloid osmotic pressure during major abdominal surgery and perioperative albumin in elderly patients.Methods:140 elderly patients of 65-80 years old u...Objective:To explore the effects of different infusion schemes on colloid osmotic pressure during major abdominal surgery and perioperative albumin in elderly patients.Methods:140 elderly patients of 65-80 years old undergoing major abdominal surgery were divided into 4 groups according to the method of random number table,and different proportions of crystals and colloids were given to different groups(group A:full crystal,group B:crystal-colloid ratio 1:1,group C:crystal-colloid ratio 2:1,Group D:crystalcolloid ratio 1:2).The plasma colloid osmotic pressure and level of albumin during perioperative period were monitored.Simultaneously observe the arterial blood pH,blood glucose,extubating time of endotracheal tube,postoperative feeding time,et al.Results:The total amount of liquid infusion in the group of whole crystal was 3056ml(3056±253),which was significantly more than other groups(P<0.01).At the same time,the colloid osmotic pressure decreased by 11.9 mmHg(11.9±2.8),which was more obviously decreased than that of the other groups(B group3.9±1.3,C group 1.5±0.3,D group 4.7±2.1).The difference was a statistically significant(P<0.01).On the next day after surgery,the level of albumin decreased by an average of 4.3 g/L(4.5±1.9)compared with that in group B before surgery,and group C decreased by 2.9 g/L(2.9±1.2)in average,which was significantly different(P<0.05)from group A 10.2 g/L(10.2±1.8).There was no statistically significant difference between group A and group D(P>0.05).And the other indexes were not significantly different between the two groups.Conclusion:This study found that different infusion solutions with different crystal-colloid ratios had an effect on perioperative colloid osmotic pressure and level of albumin.展开更多
文摘Objective:To explore the effects of different infusion schemes on colloid osmotic pressure during major abdominal surgery and perioperative albumin in elderly patients.Methods:140 elderly patients of 65-80 years old undergoing major abdominal surgery were divided into 4 groups according to the method of random number table,and different proportions of crystals and colloids were given to different groups(group A:full crystal,group B:crystal-colloid ratio 1:1,group C:crystal-colloid ratio 2:1,Group D:crystalcolloid ratio 1:2).The plasma colloid osmotic pressure and level of albumin during perioperative period were monitored.Simultaneously observe the arterial blood pH,blood glucose,extubating time of endotracheal tube,postoperative feeding time,et al.Results:The total amount of liquid infusion in the group of whole crystal was 3056ml(3056±253),which was significantly more than other groups(P<0.01).At the same time,the colloid osmotic pressure decreased by 11.9 mmHg(11.9±2.8),which was more obviously decreased than that of the other groups(B group3.9±1.3,C group 1.5±0.3,D group 4.7±2.1).The difference was a statistically significant(P<0.01).On the next day after surgery,the level of albumin decreased by an average of 4.3 g/L(4.5±1.9)compared with that in group B before surgery,and group C decreased by 2.9 g/L(2.9±1.2)in average,which was significantly different(P<0.05)from group A 10.2 g/L(10.2±1.8).There was no statistically significant difference between group A and group D(P>0.05).And the other indexes were not significantly different between the two groups.Conclusion:This study found that different infusion solutions with different crystal-colloid ratios had an effect on perioperative colloid osmotic pressure and level of albumin.
