After Gastrointestinal Operation Monitoring The Central Venous Pressure Fluid Therapy Research

Objective To observe the outcomes of the Postoperative patients with gastric undergoing Monitoring of central venous pressure liquid treatment, Provide clinical basis for such patients postoperative reasonable transfusionMethods One hundred and thirty ASA Ⅰ、Ⅱ、Ⅲ patients of both sexes aged56.7±19.5undergoing elective Operation of the stomach were randomly divided into two groups(n=65):group A a goal-directed fluid therapy and group B a routine fluid therapy. Group A deep line right subclavian vein puncture in patients with central venous pressure measurement for treatment capacity, postoperative with4ml·kg-1·h-1for initial infusion rate, according to the central venous pressure measured value to adjust the dripping speed, the goal is to control the CVP6-12cmH2O, group B patients carried out in accordance with the conventional infusion method treatment capacity, postoperative transfusion rate control in5ml·kg-1·h-1or so. The daily rate of liquid crystal and colloid is about1:2. Respectively in1d,2d,3d,4d and5d acquisition morning urine and venous blood sample, the determination of potassium, sodium, chloride, calcium, the level of urine specific gravity, and records the heart rate, mean arterial pressure, blood oxygen level and APACHEII score and pulmonary function changes, record first anal exhaust time, postoperative patients with defecation time, take out stitches wound healing time, postoperative hospital stay, breathing, circulation and other the incidence of adverse events.Results Two groups of patients with postoperative daily urine output is normal, but the less than group B, group A patients of biochemical level and urine specific gravity obviously smooth in the B group (p<0.05), A group of patients with heart rate, blood oxygen, mean arterial pressure, and lung function in maintaining clear smoothly in the B group (p<0.05), postoperative patients with anal exhaust time, defecation time, for the first time take out stitches wound healing time, postoperative hospital stay compared with group B significantly shortened (p<0.05), the incidence of postoperative complications such as breathing, circulation is lower than group B (p<0.01).Conclusion Postoperative patients with gastric monitoring central venous pressure as the goal to guide the rehydration, can effectively guarantee the body circulation blood volume, better to maintain the body water and electrolyte balance, reduce caused by blind rehydration before and after the load is too big, can maintain hemodynamic stability, conducive to the postoperative functional recovery, reduce the incidence of postoperative complications, shorten hospitalization time, make the prognosis of patients with significantly improved.