限制性液体复苏在泌尿系结石术后感染性休克中的应用

摘要

目的：比较限制性和开放性液体复苏方式对泌尿系结石术后相关感染性休克的疗效。方法18例泌尿系结石术后感染性休克患者分为两组， A组(9例)行限制性液体复苏， B组(9例)行开放性液体复苏。比较两组患者的复苏液体量、术后出血率、复苏时间以及复苏期间心率(HR)、平均动脉压(MAP)、中心静脉压(CVP)、每小时尿量和血清肌酐水平。结果 A组患者复苏液体量、术后出血率、复苏时间均低于B组，差异具有统计学意义(P<0.05)。两组患者复苏期间HR、MAP、CVP、每小时尿量，组内复苏前后比较，差异有统计学意义(P<0.05)，复苏后组间比较，差异无统计学意义(P>0.05)。血清肌酐水平组间、组内复苏前后比较，差异均无统计学意义(P>0.05)。结论对于泌尿系结石术后的感染性休克进行液体复苏时，限制性液体复苏优于传统开放性液体复苏。%ObjectiveTo compare curative effects between limited and open fluid resuscitation for infectious shock after urinary calculus operation.MethodsA total of 18 patients with infectious shock after urinary calculus operation were divided into two groups. Group A (9 cases) received limited fluid resuscitation, and group B (9 cases) received open fluid resuscitation. Comparisons were made on resuscitation fluid volume, postoperative hemorrhage rate, revive time, heart rate (HR), mean arterial pressure (MAP), central venous pressure (CVP), levels of urine volume and serum creatinine per hour in the two groups.ResultsGroup A had lower resuscitation fluid volume, postoperative hemorrhage rate, revive time than group B, and their difference had statistical significance (P<0.05). Differences of HR, MAP, CVP and urine volume per hour had statistical significance before and after resuscitation in both groups (P<0.05), while those differences had no statistical significance between the two groups after resuscitation (P>0.05). There were no statistically significant differences of serum creatinine level between the two groups before and after resuscitation (P>0.05).ConclusionImplement of limited fluid resuscitation provides better effect than open fluid resuscitation for infectious shock after urinary calculus operation.