中华普通外科学文献（电子版）
中華普通外科學文獻（電子版）
중화보통외과학문헌（전자판）
Chinese Archives of General Surgery(Electronic Edition)
2015年
6期
441-445
,共5页
姜婷婷%王新颖%姜军%刘思彤%李宁
薑婷婷%王新穎%薑軍%劉思彤%李寧
강정정%왕신영%강군%류사동%리저
便秘%血糖%电解质%磷%混合糖电解质注射液%择期手术
便祕%血糖%電解質%燐%混閤糖電解質註射液%擇期手術
편비%혈당%전해질%린%혼합당전해질주사액%택기수술
Constipation%Blood glucose%Electrolyte%Phosphorus%Carbohydrate-electrolyte solution%Selective operation
目的 探究混合糖电解质注射液在择期便秘外科手术患者术后应用是否能够稳定血糖、减轻乳酸堆积、补充血电解质.方法 筛选2013年11月至2014年1月有明确诊断的64例择期便秘外科手术患者,随机分为试验组(33例)和对照组(31例),分别给予混合糖电解质注射液和10%葡萄糖电解质注射液.术后连续输注3 d,每天1 000 ml,不足部分按需补充.监测患者手术前和手术后3d每次输液前后的血糖、乳酸水平及钙、镁、磷离子水平.结果 受试者均未出现相关不良反应或肝肾功能损害.两组患者手术后的血糖与手术前相比均有所升高,但在各时间点及各时间点与手术前的差值之间差异并无统计学意义,但对照组的血糖波动范围较大,试验组的血糖水平相对较为平稳.两组患者的血乳酸、血钙、血镁水平差异无统计学意义.自术后第2天起,试验组血磷水平明显高于对照组,术后第1天输液后至第3天输液前两组血磷水平均低于正常范围;而术后第3天输液后,试验组血磷水平恢复至正常范围,而对照组仍低于正常范围(P<0.05).结论 择期便秘外科手术患者术后应用混合糖电解质注射液治疗既能对血糖水平有稳定作用,又能对血磷进行补充,是目前临床液体治疗的优先选择.
目的 探究混閤糖電解質註射液在擇期便祕外科手術患者術後應用是否能夠穩定血糖、減輕乳痠堆積、補充血電解質.方法 篩選2013年11月至2014年1月有明確診斷的64例擇期便祕外科手術患者,隨機分為試驗組(33例)和對照組(31例),分彆給予混閤糖電解質註射液和10%葡萄糖電解質註射液.術後連續輸註3 d,每天1 000 ml,不足部分按需補充.鑑測患者手術前和手術後3d每次輸液前後的血糖、乳痠水平及鈣、鎂、燐離子水平.結果 受試者均未齣現相關不良反應或肝腎功能損害.兩組患者手術後的血糖與手術前相比均有所升高,但在各時間點及各時間點與手術前的差值之間差異併無統計學意義,但對照組的血糖波動範圍較大,試驗組的血糖水平相對較為平穩.兩組患者的血乳痠、血鈣、血鎂水平差異無統計學意義.自術後第2天起,試驗組血燐水平明顯高于對照組,術後第1天輸液後至第3天輸液前兩組血燐水平均低于正常範圍;而術後第3天輸液後,試驗組血燐水平恢複至正常範圍,而對照組仍低于正常範圍(P<0.05).結論 擇期便祕外科手術患者術後應用混閤糖電解質註射液治療既能對血糖水平有穩定作用,又能對血燐進行補充,是目前臨床液體治療的優先選擇.
목적 탐구혼합당전해질주사액재택기편비외과수술환자술후응용시부능구은정혈당、감경유산퇴적、보충혈전해질.방법 사선2013년11월지2014년1월유명학진단적64례택기편비외과수술환자,수궤분위시험조(33례)화대조조(31례),분별급여혼합당전해질주사액화10%포도당전해질주사액.술후련속수주3 d,매천1 000 ml,불족부분안수보충.감측환자수술전화수술후3d매차수액전후적혈당、유산수평급개、미、린리자수평.결과 수시자균미출현상관불량반응혹간신공능손해.량조환자수술후적혈당여수술전상비균유소승고,단재각시간점급각시간점여수술전적차치지간차이병무통계학의의,단대조조적혈당파동범위교대,시험조적혈당수평상대교위평은.량조환자적혈유산、혈개、혈미수평차이무통계학의의.자술후제2천기,시험조혈린수평명현고우대조조,술후제1천수액후지제3천수액전량조혈린수평균저우정상범위;이술후제3천수액후,시험조혈린수평회복지정상범위,이대조조잉저우정상범위(P<0.05).결론 택기편비외과수술환자술후응용혼합당전해질주사액치료기능대혈당수평유은정작용,우능대혈린진행보충,시목전림상액체치료적우선선택.
Objective To evaluate the effect of carbohydrate-electrolyte solution on the fluid balance and glucose metabolism in patients after selective operations for constipation. Methods Sixty-four adult patients after selective operations for constipation from November 2013 to January 2014 were enrolled and randomly divided into two groups:test group (33 cases) and control group (31 cases). The test group accepted the fluid therapy of carbohydrate- electrolyte solution, while the control group accepted the fluid of compound electrolyte and glucose solution for 3 days of 1 000 ml/d. The blood glucose, calci-um, magnesium and phosphorus before the operations, before and after infusion in 3 days after operations were assayed. Results No adverse reactions occurred in all patients. There was no difference in general characteristics of patients between two groups. The increase of serum glucose was observed in the two groups after operations, while there was no statistical significance between groups. The fluctuation range of serum glucose in the test group was smaller than the control group. There was no statistical significance in serum lactic acid, calcium and magnesium between groups. The serum phosphorus was below the nor-mal level in both the test group and the control group from the first day after infusion to the third day be-fore infusion. However, it recovered to the normal level after infusion in three days in the test group but re-mained abnormal in the control group (P<0.05), which suggested the supplementary effect of carbohy-drate-electrolyte solution. Conclusions The carbohydrate-electrolyte solution can not only maintain sta-bility of serum glucose, but also supplement serum phosphorus in patients after selective operations for constipation. It is a favorable choice in clinical fluid treatment.
