二氧化碳气腹腹腔镜胆囊切除术后吸氧时间的研究  

Study for the time of oxygen inhalation for patients with laparoscopic cholecystectomy through carbon dioxide pneumoperitoneum

作　　者：于东华[1] 杨秀红[1] 赵桂荣[1] 

机构地区：[1]河北医科大学第二医院外宾病房,河北石家庄050000

出　　处：《护士进修杂志》2007年第15期1353-1354,共2页Journal of Nurses Training

摘　　要：目的观察二氧化碳气腹腹腔镜胆囊切除术后最佳吸氧时间及意义。方法将120例二氧化碳气腹腹腔镜胆囊切除术后患者随机分成6组,观察吸氧2 h、4 h、8 h、12 h、18 h、24 h血气分析指标和综合心电监护指标及肩部疼痛程度。结果血气分析指标、综合心电监护指标差异无显著意义(P>0.05)。术后吸氧12 h、18 h、24 h同术后吸氧2 h、4 h8、h相比能显著地改善患者肩部疼痛,差异有极显著意义(P<0.01)。结论腹腔镜胆囊切除术后吸氧时间至少需要12 h。Objective To observe the best time for oxygen inhalation and it＇s meaning for patients with laparoscopic cholecystectomy through carbon dioxide pneumoperitoneum. Method 120 cases with laparoscopic cholecystectomy through carbon dioxide pneumoperitoneum was randomly divided into six groups. Blood gas analysis, integrated heart electricity monitoring indicator and degree of shoulder pain was measured 2 br, 4 hr, 8 hr, 12 hr, 18 hr and 24 hr after oxygen inhalation. Result There was no significant difference in blood gas analysis, integrated heart electricity monitoring indicator （P〉0.05） between the two group. There was significant difference in shoulder pain relief 12 hr, 18 hr, 24 hr after postoperative oxygen inhalation compared with that of 2 hr, 4 hr, 12 hr, 18hr, and 24 hr after postoperative oxygen inhalation （P〈0.01 ）. Conclusion It is necessary to inspire oxygen for at least 12 hours after laparoscopic cholecystectomy.

关 键 词：二氧化碳气腹 腹腔镜胆囊切除术 吸氧 

分 类 号：R473.6[医药卫生—护理学]