| 摘要: |
| 目的：探讨醋酸钠林格注射液在新生儿腹腔镜手术中的应用价值。方法：选择ASA分级Ⅰ~Ⅱ级择期行腹腔镜手术的新生儿60例，采用随机数表法分为观察组和对照组各30例，均采用静脉吸入复合全身麻醉，术中分别输注醋酸钠林格注射液和钠钾镁钙葡萄糖注射液补液。于术前和手术结束测定动脉血气分析指标，观察患儿血糖、乳酸、电解质及酸碱平衡的变化。结果：观察组患儿补液前后血糖水平无明显变化（P>0.05），且术后血糖升高幅度小于对照组（P<0.05）。两组患儿的血pH值、BE值、电解质水平比较差异均无统计学意义（P均>0.05）。结论：和钠钾镁钙葡萄糖注射液相比，醋酸钠林格注射液能够更好地维持新生儿腹腔镜手术围术期的血糖水平，可作为新生儿腹腔镜手术中安全、有效的补液选择。 |
| 关键词: 新生儿 腹腔镜手术 醋酸钠林格注射液 血糖 电解质 血乳酸 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2019.01.004 |
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| 基金项目: |
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| Effects of Infusing Different Fluids Intravenously on Carbohydrate Metabolism and Plasma Electrolytes and Acid-Base Balance in Perioperative Neonates Undergoing Laparoscopic Surgery |
| Du Zhen, Qu Shuangquan, Wei Siwei, Yang Qiaoyun, Yu Eryou |
| (Hunan Children’s Hospital, Hunan Changsha 410007, China) |
| Abstract: |
| Objective: To compare the outcome of intraoperative administration of Sodium potassium magnesium calcium and glucose injection versus sodium acetate Ringer’s injection for laparoscopic surgery in neonates. Methods: A total of 60 ASA I or II neonates scheduled for elective laparoscopic surgery, were randomly divided into Sodium potassium magnesium calcium and glucose injection group (Ⅰgroup) and sodium acetate Ringer’s injection group (Ⅱgroup). Both groups were anesthesia with intravenous-inhalation combined anesthesia. Arterial blood gas, blood glucose, lactate and electrolytes were measured before and after the surgery. Results: Blood glucose postoperative in groupⅠ was higher than that in group Ⅱ (P<0.05). There was no change in blood glucose in group Ⅱ during the surgery. There was no significant change in lactate, pH, BE and electrolytes in two groups before and after operation. Conclusion: Compared with sodium potassium magnesium calcium and glucose injection, sodium acetate Ringer’s injection have more advantage for maintaining the stability of glucose levels in perioperative neonate，which may be a more effective fluid replacement choice for neonate undergoing laparoscopic surgery. |
| Key words: neonate laparoscopy sodium acetate ringer’s injection blood glucose electrolyte blood lactic acid |
