压力记录分析法指导的目标导向液体治疗在脑肿瘤切除术中的应用

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Abstract Objective To evaluate the goal-directed fluid therapy guided by pressure recording analytical method (PRAM) in intracranial tumor resection.Methods Forty patients undergoing intracranial tumor resection were randomly divided into two groups: goal-directed fluid therapy group(Group G) and the traditional fluid therapy group(Group C). Group G received the goal-directed fluid therapy based on SVV, whereas group C was treated with a traditional fluid therapy based on CVP, MAP and the urinary output. The crystalloid requirements, colloid requirements, banked blood requirements, total fluid volume infused ,urinary output, bleeding volume,vasoactive drugs and hemodynamics during operation were recorded.Results The colloid volume, total fluid volume infused,and urinary output during operation were significantly larger in group G than in group C(P<0.05), so was MAP at T₂-T₄(P<0.05).Conclusions PRAM guided goal-directed fluid therapy can help optimize the capacity state in intracranial tumor resection patients and maintain the perioperative stability of hemodynamics .

Key words： pressure recording analytical method goal-directed fluid therapy intracranial tumor resection

Received: 02 March 2018

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R739.41

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	Articles by authors
	LIU Xiaomei
	DONG Lan
	CHEN Yu
	LV Hao

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LIU Xiaomei,DONG Lan,CHEN Yu等. Goal-directed fluid therapy in intracranial tumor resection guided by pressure recording analytical method[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(8): 793-796.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I8/793

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