Effect of acute hypervolemic hemodilution combined with nicardipine controlled hypotension on hemodynamics in perioperation period of revision operation of total hip replacement
- VernacularTitle:急性高容量血液稀释结合尼卡地平控制性降压对全髋翻修围术期血液动力学的影响
- Author:
Pengcheng ZHAO
;
Jing MENG
;
Shuling GUAN
;
Guoqing ZHAO
- Publication Type:Journal Article
- Keywords:
acute hypervolemic hemodilution;
nicardipine;
hypotension,controlled;
revision operation of total hip replacement
- From:
Journal of Jilin University(Medicine Edition)
2006;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of acute hypervolemic hemodilution(AHH) combined with nicardipine controlled hypotension on hemodynamics changes in revision operation of total hip replacement.Methods Forty patients were divided into two groups according to the sequence of the surgery(odd number came into group A,even number came into group B,20 in each group).In group A,AHH was carried out with nicardipine controlled hypotension;group B was control group.AHH was carried out in both groups before anesthesia induction.6%voluven was transfused in group A at 15 mL?kg-1 and 30 mL?min-1 and nicardipine was transfused at 0.3-0.5 mL?kg-1?h-1 with MAP altering between 60 and 65 mmHg;Same quantity of physiological saline was transfused in group B.HR,MAP,CVP,Hb,Hct and Plt were recorded and observed at preoperation,1 h after AHH and 24 h after the operation.Results In group A after AHH with nicardipine controlled hypotension,MAP was obviously lower than pre-operation(P
