【摘要】 目的:应用无创连续心排监测指导下和非心排指导下目标导向液体治疗GDFT对老年患者消化道恶性肿瘤术后的影响。方法:回顾性分析2018年4月至2019年4月入住兰州市第一人民医院选择全麻下60~80岁患者70例,随机分为2组,每组35例,对照组:无连续心排监测指导;研究组:连续心排监测指导下的目标导向液体治疗。对比术后患者初次排气时间、术后下床天数、住院总天数和总的住院医疗费用。结果:研究组的术后患者初次排气时间、术后下床天数、住院总天数和总的住院医疗费用明显优于对照组(P<0.05)。结论:采用目标导向性液体治疗方案,能满足老年胃肠道肿瘤患者术中个体化的液体治疗,改善老年胃肠道肿瘤患者的预后,降低医疗费用。更多还原

【Abstract】 Objective: To investigate the effect of goal-directed fluid therapy with GDFT under the guidance of noninvasive continuous cardiac discharge monitoring and non-cardiac discharge guidance on gastrointestinal malignancy in elderly patients after surgery. Methods: A retrospective analysis was performed on 70 patients aged 60-80 admitted to Lanzhou First People’s Hospital from April 2018 to April 2019. They were divided into 2 groups with 35 patients in each group. Control group: no continuous cardiac discharge monitoring guidance; Study group: Target-directed fluid therapy guided by continuous cardiac discharge monitoring. The postoperative initial exhaust time, postoperative bed days, total hospitalization days and total hospitalization expenses were compared. Results: The primary exhaust time, postoperative bed days, total hospitalization days and total hospitalization cost of patients in the study group were significantly better than those in the control group（P<0.05）. Conclusion: Target-oriented fluid therapy can meet the needs of individual fluid therapy, improve the prognosis of patients and reduce medical costs.更多还原