文档介绍：术中输入乳酸钠林格液与醋酸钠林格液对血乳酸盐及酸碱平衡影响的研究【摘要】目的比较术中输入乳酸钠林格液和醋酸钠林格液血乳酸盐及血气的变化。方法0例择期手术患者按随机数字表随机分为乳酸钠组和醋酸钠组,每组各20例,采用静吸复合全身麻醉。L组术中输入乳酸钠林格液,A组术中输入醋酸钠林格液,两组术中不交叉输入其他晶体液,输入胶体液均为菲克血隆。观察诱导前,诱导后1h、2h、3h及4h的血乳酸盐、SpO2、PETCO2、呼末异***醚浓度、呼末N2O浓度、MAC及血气变化。结果两组在年龄、性别、身高、体重、ASA分级、手术时间、麻醉时间、术中输液量、出血量、尿量等方面均差异无显著性。乳酸盐正常值为~/L。两组诱导前、诱导后1h、2h、3h、4h的血乳酸盐、SpO2、PETCO2、呼末异***醚浓度、呼末N2O浓度、MAC等观察指标,组间比较P【关键词】乳酸钠;醋酸钠;脊柱手术;全身麻醉Thestudyoftheeffecttothebloodlactateandtheacid-basebalancewhengiventhelactatedRingersandacetatedsodiumsolutionduringtheoperation【Abstract】parethedifferentchangesofbloodlactateandbloodgaseswhengiventhelactatedRinger’’sgroup(groupL)andtheacetatedsodiumgroup(groupA)randomly,’-givenothercrystalsolutionduringoperation,,SpO,PETCO2,theendexpiratoryconcentrationofisofluraneandN2O,MACandbloodgasesbeforetheinductionandat1h,2h,(P>)intheage,sex,stature,wEIght,ASAgrade,operationtime,anesthesiatime,thevolumeoftransfusionduringoperation,hemorrhageandurinevolumeetcofbothnormalvalueoflactateis~/,SpO,PETCO2,theendexp