rmtОбщая реаниматологияGeneral Reanimatology1813-97792411-7110FSBI "SRIGR" RAMS10.15360/1813-9779-2014-3-38-49rmt-1400Research ArticleПРАКТИКУЮЩЕМУ ВРАЧУFOR PRACTIONERНЕИНВАЗИВНАЯ ОЦЕНКА ГЕМОДИНАМИЧЕСКОГО СТАТУСА В КОМПЛЕКСЕ ПРЕДОПЕРАЦИОННОГО ОБСЛЕДОВАНИЯ БОЛЬНЫХ КОЛОРЕКТАЛЬНЫМ РАКОМNoninvasive Hemodynamic Assessment as Part of Preoperative Examination of Patients with Colorectal CancerАлександровМ. И.AleksandrovM. I.СпиридоноваЕ. А.SpiridonovaE. A.spiridonova.e.a@gmail.comПереходовС. Н.PerekhodovS. N.БобринскаяИ. Г.BobrinskayaI. G.ЕсинГ. В.EsinG. V.ЛагутинМ. Б.LagutinM. B.ГончаровЛ. Ф.GoncharovL. F.ЦыгановД. И.TsyganovD. I.Городская клиническая больница No 24 Департамента здравоохранения города МосквыРоссияCity Clinical Hospital Twenty-Four, Moscow Healthcare Department, MoscowRussian FederationФедеральный научный клинический центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачёва Минздрава РФ, Москва Московский государственный медико-стоматологический университет им. А. И. Евдокимова Минздрава РФ, МоскваРоссияDmitry Rogachev Federal Research-and-Clinical Center for Pediatric Hematology, Oncology, and Immunology, Ministry of Health of the Russian Federation, Moscow A. I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of the Russian Federation, MoscowRussian FederationГородская клиническая больница No 50 Департамента здравоохранения города МосквыРоссияCity Clinical Hospital Fifty, Moscow Healthcare Department, MoscowRussian FederationНИИ Общей реаниматологии им. В. А. Неговского РАМН, Москва Московский государственный медико-стоматологический университет им. А. И. Евдокимова Минздрава РФ, МоскваРоссияV. A. Negovsky Research Institute of General Reanimatology, Russian Academy of Medical Sciences, Moscow A. I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of the Russian Federation, MoscowRussian FederationМосковский государственный медико-стоматологический университет им. А. И. Евдокимова Минздрава РФ, МоскваРоссияA. I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of the Russian Federation, MoscowRussian FederationМосковский государственный университет им. М. В. Ломоносова, МоскваРоссияM. V. Lomonosov Moscow State University, Moscow,Russian FederationРоссийская медицинская академия последипломного образования Минздрава РФ, Москва Государственный научноРоссияRussian Medical Academy of Postgraduate Education, Ministry of Health of the Russian Federation, Moscow State Research Center for Preventive Medicine, Ministry of Health of the Russian Federation, MoscowRussian FederationРоссийская медицинская академия последипломного образования Минздрава РФ, Москва Российская академия наук (РАН), МоскваРоссияRussian Medical Academy of Postgraduate Education, Ministry of Health of the Russian Federation, Moscow Russian Academy of Science (RAS), MoscowRussian Federation2014280620141033849Copyright © Александров М., Спиридонова Е., Переходов С., Бобринская И., Есин Г., Лагутин М., Гончаров Л., Цыганов Д., 20142014Александров М., Спиридонова Е., Переходов С., Бобринская И., Есин Г., Лагутин М., Гончаров Л., Цыганов Д.Aleksandrov M., Spiridonova E., Perekhodov S., Bobrinskaya I., Esin G., Lagutin M., Goncharov L., Tsyganov D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.reanimatology.com/rmt/article/view/1400

Цель работы — определение возможностей неинвазивного исследования гемодинамического статуса больных колоректальным раком в рамках предоперационного анестезиологического обследования.

Материал и методы

Материал и методы. В предоперационном периоде проведен анализ гемодинамического статуса у 97 пациентов с колоректальным раком (46 мужчин и 51 женщина). Средний возраст составил 67,59±9,48 лет. Интраоперационный риск по шкале POSSUM составил 20,20±3,2 балла. Оценка центральной гемодинамики (ЦГ) проводилась на предоперационном этапе всем пациентам с помощью «Комплекса мониторного кардиореспираторной системы и гидратации тканей компьютеризированного «Диамант» (Санкт-Петербург, Россия — регистрационное удостоверение ФСР No 2008/03201 от 22 августа 2008 г.).

Результаты

Результаты. Неинвазивное исследование гемодинамического статуса позволяет дополнить предоперационное обследование больных колоректальным раком. У больных колоректальным раком в 43,3% случаев был диагностирован гиподинамический тип кровообращения, в 56,7% случаев — эудинамический. Не установлено существенного влияния возраста больных на их гемодинамический статус, что подтверждает целесообразность многофакторной оценки периоперационного риска.  

Objective

Objective: to determine the capacities of a noninvasive hemodynamic study in patients with colorectal cancer within a preoperative anesthesiological examination.

Subjects and methods

Subjects and methods. The hemodynamic status was preoperatively analyzed in 97 patients (46 men and 51 women) with colorectal cancer. Their mean age was 67.59±9.48 years. The POSSUM intraoperative risk scores were 20.20+3.2. Central hemodynamics was preoperatively assessed in all the patients, by applying a «Computerized Diamant System for Monitoring the Cardiorespiratory System and Tissue Hydration» (Saint-Petersburg, Russia — Registration Certificate ФСР No 2008/03201 dated 22 August, 2008).

Results

Results. The non-invasive hemodynamic study can supplement a preoperative examination in patients with colorectal cancer. The patients with colorectal cancer were diagnosed as having hypodynamic and eudynamic circulation in 43.3 and 56.7% of the cases, respectively. The age of the patients was not established to have a significant impact on their hemodynamic status, which confirms that it is expedient to make perioperative multifactorial risk assessment.

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The authors declare that there are no conflicts of interest present.