[1]赵素素,谭洁琼,党 娟.食管癌术后恢复期补液量与术后恢复的关系[J].医学信息,2021,34(04):88-91.[doi:10.3969/j.issn.1006-1959.2021.04.023]
　ZHAO Su-su,TAN Jie-qiong,DANG Juan.The Relationship Between the Amount of Fluid Supplementation in the Recovery Period and Postoperative Recovery of Esophageal Cancer[J].Medical Information,2021,34(04):88-91.[doi:10.3969/j.issn.1006-1959.2021.04.023]
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食管癌术后恢复期补液量与术后恢复的关系()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年04期
页码:
88-91
栏目:
论著
出版日期:
2021-02-15

文章信息/Info

Title:
The Relationship Between the Amount of Fluid Supplementation in the Recovery Period and Postoperative Recovery of Esophageal Cancer
文章编号:
1006-1959（2021）04-0088-04
作者:
赵素素; 谭洁琼; 党 娟
（西安交通大学第二附属医院胸外科，陕西 西安 710004）
Author(s):
ZHAO Su-su; TAN Jie-qiong; DANG Juan
(Department of Thoracic Surgery,the Second Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710004,Shaanxi,China)
关键词:
食管癌; 补液量; 术后恢复期
Keywords:
Esophageal cancer; Fluid supplementation; Postoperative recovery period
分类号:
R735.1
DOI:
10.3969/j.issn.1006-1959.2021.04.023
文献标志码:
A
摘要:
目的 探讨食管癌术后补液量与恢复的效果的关系，为食管恶性肿瘤围手术期营养学恢复方案的制定提供临床依据。方法 选取2018年1月~2019年6月就诊于西安交通大学第二附属医院胸外科的50例食管癌患者作为研究对象，均行全腔镜三切口食管癌根治术，根据术后当天补液量将患者分为0~900 ml组、901~1437 ml组、1438~2500 ml组、＞2500 ml组，比较食管癌术后当天不同补液量患者基本资料，并使用Kaplan-Meiler与Cox回归分析各因素对下床时间和住院时间的影响。结果50例食管癌患者中0~900 ml 1例、901~1437 ml 11例、1438~2500 ml 27例、＞2500 ml组11例。不同补液组年龄、住院时间、术后最高体温比较，差异无统计学意义（P＞0.05）；不同补液组当天引流量、通气前平均引流、通气时间、下床时间与总引流量比较，差异有统计学意义（P＜0.05）。对下床时间行Kaplan-Meiler分析显示，年龄、当天补液量、当天引流量、平均补液量、平均引流量具有影响下床时间的趋势；多因素Cox回归分析显示，年龄和当天补液量是影响下床时间的独立因素。对总住院时间行Kaplan-Meiler分析显示，年龄、当天引流、总引流量、补液量和平均补液量可能具有影响住院时间的趋势，但多因素回归分析并未显示其能独立影响患者住院时间。Kaplan-Meiler分析显示，当天补液量为901~1437 ml的患者下床时间短于1438~2500 ml、＞2500 ml（P＜0.05）。结论 术后补液量，尤其是术后当日补液量对于术后的恢复有一定的影响，根据患者的一般情况制定全面食管癌术后补液策略对于食管癌患者的恢复有积极意义。
Abstract:
Objective To explore the relationship between the amount of fluid supplementation after esophageal cancer surgery and the effect of recovery, and to provide clinical evidence for the formulation of perioperative nutritional recovery programs for esophageal malignant tumors.Methods 50 patients with esophageal cancer who were admitted to the Department of Thoracic Surgery of the Second Affiliated Hospital of Xi’an Jiaotong University from January 2018 to June 2019 were selected as the research objects.All underwent full-laparoscopic three-incision radical esophageal cancer surgery,patients were divided into 0-900 ml, 901-1437 ml, 1438-2500 ml, and >2500 ml groups according to the amount of fluid replacement on the day after surgery.The basic data of patients with different fluid supplements on the day after esophageal cancer were compared, and Kaplan-Meiler and Cox regression were used to analyze the influence of various factors on the time of getting out of bed and the length of hospital stay.Results Among 50 patients with esophageal cancer, 1 case was 0-900 ml,901-1437 ml 11 cases,1438-2500 ml 27 cases,There were 11 cases in the group >2500 ml.There was no significant difference in age, length of hospital stay, and maximum postoperative body temperature in different fluid supplement groups (P>0.05);There were statistically significant differences in the daily drainage volume, average drainage before ventilation, ventilation time, time to get out of bed and total drainage volume in different fluid supplement groups (P<0.05).The Kaplan-Meiler analysis of the time to get out of bed shows that age, the amount of fluid replacement on the day, the amount of drainage on the day, the average volume of fluid replacement, and the average amount of drainage have a tendency to affect the time to get out of bed;Multivariate Cox regression analysis showed that age and the amount of fluid that day were independent factors that affected the time to get out of bed.Kaplan-Meiler analysis of total hospital stay showed that age, day drainage, total drainage, fluid rehydration volume, and average fluid rehydration volume may have a tendency to affect hospital stay, but multivariate regression analysis did not show that they can independently affect patient stay in hospital.Kaplan-Meiler analysis showed that The time of getting out of bed was shorter than 1438-2500 ml,>2500 ml for patients with 901-1437 ml rehydration on the same day (P<0.05).Conclusion The amount of fluid rehydration after surgery, especially on the day after surgery, has a certain impact on the postoperative recovery. According to the general situation of the patient, a comprehensive fluid rehydration strategy after surgery for esophageal cancer has positive significance for the recovery of patients with esophageal cancer.

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更新日期/Last Update: 1900-01-01