不同气腹压力对全麻下腹腔镜胆囊切除术病人眼压的影响  

The influence of pneumoperitoneal pressure on intraocular pressure in patients with laparoscopic cholecystectomy under general anesthesia.

作　　者：潘裕国[1] 钱以德[1] 卫智强[1] 

机构地区：[1]广州医学院第三附属医院肝胆外科,广东广州510150

出　　处：《临床和实验医学杂志》2010年第20期1529-1531,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的观察不同气腹压力对全麻下腹腔镜胆囊切除术(LC)受者眼内压(IOP)的影响。方法 60例美国麻醉医师协会(ASA)分级Ⅰ、Ⅱ级,因胆石症或胆囊息肉进行手术的病人,随机分为高气腹压力组和低气腹压力组,每组30例,两组病人全麻下行LC。L组术中气腹压力控制在(8±1)cmH2O,H组术中气腹压力控制在(13±1)cmH2O,记录两组病人麻醉前、麻醉后气腹前、气腹建立后、气腹后头高位、气腹术毕恢复平卧位、术毕腹腔放气后5 min及术毕2 h的血压(BP)、呼吸(HR)、呼气末CO2分压(PETCO2)及IOP。结果与气腹前比,气腹后两组病人的PETCO2及IOP均增高,IOP在腹腔镜胆囊切除术气腹期间高气腹压力高于低气腹压力(P<0.05)。结论全麻下LC术时采用高气腹压力有可能增高眼压的风险。Objective To study the influence of different pneumoperitoneal pressure on intraocular pressure（IOP） in patients with laparoscopic cholecystectomy under general anesthesia.Methods Sixty cases of cholelithiasis or gallbladder polyposis with ASA grade I～II underwent laparoscopic cholecystectomy were randomly allocated into two groups： group H and group L.Pneumoperitoneal pressure was controlled at（8±1） cm H2O in patients of group L,and（12±1） cmH2O in patients of group H,and BP,HR,PETCO2 and intraocular pressure were measured at defined intervals during the process of operation.Results PETCO2 and IOP were increased after pneumoperitoneum in patients of both groups.Furthermore,IOP was significantly increased in patients of group H.Conclusion Intraocular pressure may possibly be increased during high pneumoperitoneal pressure in laparoscopic cholecystectomy under general anesthesia.

关 键 词：气腹压力 腹腔镜 胆囊切除 眼内压 

分 类 号：R657.4[医药卫生—外科学]