Objective: The study aims to investigate the correlation between total input for a period of 24 h and the daily physiological requirements to develop practical guidelines for postoperative infusion management of cleft patients.
Methods: Sixty-three cleft lip and palate patients under three years old who underwent surgery were included in the study. The amount of liquid taken orally as well as intravenous input were recorded for a period of 24 h and compared with the daily physiological requirements. Based on the comparison results, the amount of intravenous infusion was adjusted to match the physiological requirements. Eighty-one patients under one year old were also included to evaluate the effectiveness of the adjustment. The amount of liquid taken orally and intravenous inputs were also recorded and the correlation between total input and urine output analyzed.
Results: The total input of the first group of patients significantly exceeded the physiological requirements. After adjustment, the liquid intake remained at the same level, but the total intake moved closer to the physiological requirements. Statistically significant correlations were observed between liquid taken orally and intravenous intakes, and between total intake and urine formation.
Conclusions: More precise management of postoperative infusion is necessary for cleft patients. For patients less than six months old, the amount of intravenous infusion should be around 60% of the physiological requirements, whereas that for patients between six months and one year should be around 75%.
目的 探讨小年龄唇腭裂患儿手术当日24 h入量与其正常生理需要量的关系，以期为制定更为合理有效的临床静脉输液量计算方法提供依据。方法 本研究首先纳入63例年龄≤3岁的唇腭裂患儿，统计手术当日24 h饮入量、输液量，计算出总入量并与生理需要量进行比较和分析。根据分析结果相应调整临床补液量后，又纳入81例≤1岁的唇腭裂患儿，统计其手术当日24 h饮入量、输液量，并将总入量与生理需要量进行比较和分析，同时对饮入量与输液量、手术当日24 h总入量与尿量进行了相关性分析。结果 第一批纳入患儿手术当日24 h时入量明显高于其正常生理需要量。临床调整补液量后，患儿的饮入量未见明显变化，但24 h总入量和其正常生理需要差距缩小。饮入量与输液量、总入量与尿量呈显著相关性。结论 唇腭裂患儿手术当日应提高输液护理管理效率，≤6个月唇腭裂患儿手术当日补液量约为生理需要量的60%，6个月~1岁唇腭裂患儿手术当天日补液量为生理需要量的75%。.
Keywords: cleft lip and palate; intravenous infusion; postoperative management.