The Study Of Goal-directed Fluid Therapy Applicated In Patients With Esophageal Cancer During The Perioperative Period

Objective:The objective of the study was to investigate the effect of goal-directed fluid therapy on the outcomes in patients undergoing esophageal cancer surgery. Methods: Marked line of80cases of elderly patients with esophageal cancer radical, randomly divided into treatment group (group A) and the traditional liquid goal-directed capacity of40cases in treatment group (group B). Two groups of patients anesthesia methods are the same. Carried out in accordance with the conventional methods in group A patients treatment capacity. B group of patients with stroke variation degree of the FloTrac/Vigileo system monitoring (SVV), the goal is to maintain SVV value10-12. Before induction of anesthesia (T1) record, before skin incision (T2), when you open the diaphragm (T3), gastrointestinal anastomosis reconstruction when (T4), at the end of surgery (T5) HR5time points, CO, CVP, SV, SVV value.Postoperative complications, follow-up of all patients and record and observe and record the patients into wards, and the postoperative24hours mean arterial pressure (BP), heart rate (HR), pulse oxygen saturation (SpO2). Results:Total volume of artificial colloid infused in group B was significantly more than that in group A (p<0.001). In T4, T5time, A group of patients was significantly higher than the CVP group B, which is significantly less than SVV group B (P<0.05).The postoperative length of hospital stay was reduced in group B (p<0.001). The actual episodes of vomiting in group A were more than in group B (p<0.05). Conclusion: Esophageal cancer implement goal-directed therapy can reduce the capacity of the intraoperative fluid volume and reduce the incidence of postoperative complications, shorter hospital stays, surgery to guide fluid management has an important significance perioperative period.