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目的:术前评估肝硬化患者肝脏储备功能,及其与患者拔管时间及改良OAA/S评分的关系。方法:对60例肝硬化失代偿患者术前行吲哚氰绿排泄试验。将患者分为三组:按吲哚氰绿15min储留率(ICGR15)将患者分为两组I1组,I2组,另30例肝功能正常患者为对照组(C组)。观测ICGR15与患者拔管时间及改良OAA/S评分的关系。结果:拔管时间I1组与I2组均明显长于C组(P<0.05或P<0.01);发生呕吐,烦躁者I1组与I2组均明显多于C组(P<0.05或P<0.01),OAA/S评分>3分者I1组与I2组均多于C组,但无统计学意义。结论:ICGR15对于判断肝硬化患者围术期拔管的时间具有一定的参考价值。
OBJECTIVE: To evaluate the liver function of patients with cirrhosis preoperatively, and to explore the relationship between the extubation time and the improved OAA / S score. Methods: Sixty patients with decompensated liver cirrhosis before indocyanine green excretion test. Patients were divided into three groups: According to indocyanine green 15min retention rate (ICGR15), patients were divided into two groups I1, I2, and the other 30 patients with normal liver function as control group (C). The relationship between ICGR15 and extubation time and modified OAA / S score was observed. Results: Extubation time was significantly longer in group I1 and group I2 than in group C (P <0.05 or P <0.01). Vomiting and irritability in group I1 and group I2 were significantly more than group C (P <0.05 or P <0.01) , OAA / S score> 3 points in I1 group and I2 group were more than C group, but not statistically significant. Conclusion: ICGR15 has some reference value for judging the time of perioperative extubation in cirrhotic patients.