吸脂量与围手术期静脉输液的关系

L. Carreto, Maria T Higuera, Erandy G. Rangel, S. Castaneda
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摘要

在任何其他外科手术中,液体平衡是通过在手术期间的损失和补充的液体之间取得平衡。吸脂术的挑战在于确定定量出血,以及术中液体的流入和流失。目的:探讨抽脂术围手术期真空度与补液量的关系。工作室和设计观察性,回顾性,纵向研究。材料与方法:2013年8月- 2016年5月在全身麻醉下行常规吸脂器或VASER型吸脂术的腹部或背部脂肪营养不良患者。人口统计数据,例如;记录年龄、性别、体重指数(BMI)、美国麻醉师协会(ASA)分级麻醉风险评估、采用吸脂技术、吸脂量、输注液体和术后利尿情况。统计分析:对整个样本进行无变量的描述性分析,对服从正态分布的数值变量估计平均值和标准差,对定性变量估计频率。通过Pearson相关系数为perfect=1的简单线性回归,发现吸脂量与术后内液IV之间的关系,p< 0.05认为有显著性。结果:纳入临床记录112例,以女性为主,占97.3%,平均年龄34.46岁,体重指数(BMI) 25.4,其中75%为ASA I型,经手术静脉滴注液与抽脂无显著关系。吸脂量与术后IV液的相关性较低(r.216;(p< 0.05),经术静脉输液与利尿的相关性(r.224;p < . 05)。结论:在这项观察性和回顾性研究中,吸脂量与术中液体量之间没有直接和显著的相关性。与术后静脉输液的相关性显著但较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relation between liposuction volume and perioperative intravenous fluid
Balance in fluids as in any other surgical procedure, is obtained by having a balance between losses during surgery and fluids administered for replacement. The challenge in liposuction is to quantify bleeding with certainty, as well as the ingress and loss of transoperative fluid. Objective: To find relation between vacuum volume and fluid replenishment in the perioperative of liposuction surgery. Studio and design Observational, retrospective, longitudinal study. Material and methods: Patients undergoing lipodystrophy of the abdomen or back under general anesthesia who were underwent to liposuction with conventional liposupctor or VASER type during August 2013 to May 2016. Demographic data such as ; age, gender, body mass index (BMI), anesthetic risk estimation by ASA classification (American Society of Anesthesiologists),liposuction technique performed, liposuction volume, administered IV fluids and diuresis in the trans and postoperative were recorded. Statistical analysis: ni-varied descriptive analysis throughout the sample, the estimation of mean and standard deviation for numerical variables that follow a normal distribution and frequencies for qualitative variables. As well as a simple linear regression with Pearson correlation coefficient, perfect=1, to find a relation between lipoaspirated volume and intra and postoperative fluids IV, being considered significant with a p< 0.05. Results: 112, clinical records were included, mostly for women 97.3%,with a mean of 34.46 years and a body mass index (BMI) of 25.4, 75% were ASA I, There is no significant relationships between transoperative solutions IV and lipoaspired. A low correlation was obtained between liposuction volume and postoperative solutions IV (r.216; with p<.05) as well as the correlation of trans operative solutions IV and diuresis (r.224; p<.05). Conclusion: In this observational and retrospective study there was no direct and significant correlation between liposuction volume and the amount of trans operative fluids. Correlation with postoperative fluids IV was significant but low.
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