Effect of goal-directed fluid therapy on the volume and coagulation function in patients with placenta pre-via during perioperative period
10.3969/j.issn.1006-5725.2018.03.026
- VernacularTitle:目标导向性液体治疗对凶险性前置胎盘患者围术期容量及凝血功能的影响
- Author:
Hongai YAO
1
;
Bo WANG
;
Shiying MA
;
Yihui YANG
Author Information
1. 贵州省遵义市第一人民医院麻醉科 贵州遵义563000
- Keywords:
placenta previa;
cesarean section;
FloTrac/Vigileo;
goal-directed fluid management;
coagulation function
- From:
The Journal of Practical Medicine
2018;34(3):446-449
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the therapeutic effect of goal-directed fluid therapy on perioperative volume therapy in patients with placenta previa during perioperative period. Methods Eighty patients undergoing cesarean section were randomly divided into 2 groups(n=40 in each group):the conventional therapy group(N group)and the target management of resuscitation group(G group). Patients in G group were connected the Flo-Trac/Vigileo monitoring system to obtain the information of△SV and CI which were used to guide goal-directed flu-id therapy. Hemodynamics,blood coagulation indexes and lactic acid content in different periods of operation were recorded. Results Compared with N group,colloid infusion volume,HR,△SV,the amount of phenylephrine, PT,APTT and TT were decreased,but urine volume,CVP,CI and MBP of each time point and FIB were mark-edly increased(P < 0.05,respectively). Conclusion The application of FloTrac/Vigileo monitoring system for goal-directed fluid therapy,real-time monitor and effectively maintain hemodynamics in patients with dangerous placenta previa during perioperative period,which can improve the postoperative coagulation function and is better than the conventional rehydration capacity.
