CAJ | 학술논문

目的：观察麻醉前补偿性扩容对手术患者血酸碱平衡和电解质的影响。方法随机选择 ASA Ⅰ～Ⅲ级择期手术患者110例，平均分为复方氯化钠注射液（R 组）和0．9％氯化钠注射液（N 组）两组。麻醉前补偿性扩容（CVE）则是在10～15 min 内快速静滴约8 ml／kg 两组溶液，在 CVE 前后分别血行血气分析，并比较 R、N 两组患者 CVE 前、后的差异。结果R 组、N 组患者CVE 前、后血气 pH、PaO2、Hb、Hct、Lac、HCO3比较，差异均有统计学意义（P ＜0．05），两组患者PaCO2比较差异无统计学意义。R 组患者 CVE 前、后 K ＋比较，差异有统计学意义（P ＜0．05）。N组患者 CVE 前、后 Na ＋、Cl －比较，差异有统计学意义（P ＜0．05）。结论择期手术患者于麻醉诱导前快速静滴8 ml／kg 复方氯化钠溶液，有助于提高麻醉诱导期的安全性。
목적：관찰마취전보상성확용대수술환자혈산감평형화전해질적영향。방법수궤선택 ASA Ⅰ～Ⅲ급택기수술환자110례，평균분위복방록화납주사액（R 조）화0．9％록화납주사액（N 조）량조。마취전보상성확용（CVE）칙시재10～15 min 내쾌속정적약8 ml／kg 량조용액，재 CVE 전후분별혈행혈기분석，병비교 R、N 량조환자 CVE 전、후적차이。결과R 조、N 조환자CVE 전、후혈기 pH、PaO2、Hb、Hct、Lac、HCO3비교，차이균유통계학의의（P ＜0．05），량조환자PaCO2비교차이무통계학의의。R 조환자 CVE 전、후 K ＋비교，차이유통계학의의（P ＜0．05）。N조환자 CVE 전、후 Na ＋、Cl －비교，차이유통계학의의（P ＜0．05）。결론택기수술환자우마취유도전쾌속정적8 ml／kg 복방록화납용액，유조우제고마취유도기적안전성。
Objective To observe the effects of pre-anesthetic compensatory volume expansion (CVE)on blood acid-base balance and electrolytes in surgical patients.Methods A total of 110 ASA Ⅰ ~Ⅲ patients with scheduled surgery were randomly divided into Ringer's solution group(R group)and nor-mal saline group(N group).CVE indicated a rapid intravenous infusion of 8 ml/kg solutions within 10 ~15 min in both two group.Blood-gas analysis was used to compare the differences between the R group and the N group before and after CVE.Results The levels of pH,PaO2 ,Hb,Hct,Lac,and HCO3 - of the R group and N group were significantly different before and after CVE(P <0.05).However,there was no significant difference in PaCO2 .In R group,there was significant difference in K + before and after CVE (P <0.05).In N group,there were significant differences in Na + and Cl - before and after CVE(P <0.05).Conclusion Rapid intravenous infusion of Ringer's solution(8 ml/kg)in patients with selective surgery contributes to improve the safety during anesthesia inducement period.