Changes and influence factors of body fluid volume and distribution after abdominal surgery
10.16151/j.1007-810x.2017.06.007
- VernacularTitle:腹部手术后体液含量与分布的变化及其影响因素
- Author:
yan Yan DU
1
;
pu Qiang CHEN
;
Lei ZHOU
;
qun Ling KONG
;
lei Bao ZHAO
;
xi Chang ZHANG
;
min Yan LU
;
Qiang WEI
;
fang Bao SUN
;
bin Hai JI
Author Information
1. 山东省临床营养与代谢重点实验室
- Keywords:
Body fluidvolume;
Body fluid distribution;
Fluid retention Infuence factor
- From:Parenteral & Enteral Nutrition
2017;24(6):346-350
- CountryChina
- Language:Chinese
-
Abstract:
Objective:TThe aim of this study was to observe the changes of the volume and distribution of body fluid after abdominal surgery,and further to explore its characteristics and influence factors.Methods:Sixtyone patients were included between March and June in 2016.The volume of intracellular water (ICW),extracellular water (ECW) and total body water (TBW) was estimated by InbodyS 10 on preoperative day 1 (PreD 1) and postoperative day (POD) 1,3,5 and 7.Furthermore,the patients were grouped according to the age,sex,type of operation,operation time and the daily liquid input,and the influence factors of postoperative fluid volume were analyzed in each subgroup.Results:Comparing to that of PreD1,the ICW,ECW,and TBW,mainly ECW,were increased significantly on POD1 (P＜ 0.05),and the level of postoperative fluid volume was decreased to that of PreD1 between POD3 and POD7.It showed that there was difference in the net increasing of body fluid on POD1 between different type of the patients.Obviously,the net increasing of fluid volume in woman on POD 1 was more than that in man.The net increasing of fluid volume on POD1 was correlated with the operation time and net liquid input.Conclusion:The fluid retention was found in the early stage of postoperative patients,and mainly exists in ECW.The main influence factors resulting postoperative fluid retention were prolonged operation time and increased net fluid input.
