腹腔镜手术气腹前后对老年患者的循环和呼吸影响的观察  

Clinical study of the laparoscopy cholecystectomy processon respiration and circulation of elderly sufferers

作　　者：吴泽建[1] 蒋基令[1] 李瑞平[1] 孙宏武[1] 李知平[1] 

机构地区：[1]广东省东莞市人民医院,523018

出　　处：《中国医学创新》2011年第7期67-68,共2页Medical Innovation of China

摘　　要：目的探讨腹腔镜手术CO_2气腹对65岁以上老年患者呼吸和循环的影响。方法 65岁以上高危老年患者腹腔镜手术麻醉90例,男43例,女47例,均采用气管插管、静脉-吸入复合全身麻醉。结果 CO_2气腹期间,血流动力学变化不大,与气腹前比较,无差异(P>0.05);ETCO_2 FEV1有效动力性胸肺顺应性(EDC)变化显著(P<0.05),但属正常范围。结论 CO_2气腹可引起ETCO_2升高、FEV1 EDC轻度下降及轻微的循环抑制,只要严密监测患者各项指标,及时调整处理,老年患者可以很好的耐受腹腔镜胆囊手术。Objective To explore influences of laparoscopic cholecystectomy CO2 pneumoperitoneum on respiration and circulation of elderly sufferes over 65 years old. Methods 90 cases aged over 65 years were by anesthetized by tracheal intubation and composited venous - inhalation anethsia to perform laparoscopic cholecystectomy, male 43 cases and female 47 cases. Results In the course of pneumoperitoneum hemodynamics of the patients was mildly changed compared with that before the treatment （ P 〉 0. 05 ）. ETCO2 FEV1, and efficiency dynamics conformability （EDC） were altered markedly （ P 〈 0. 05 ）, but its in the normal range. Conclusion CO2 pneumoperitoneum may elevate ETCO2 , decrease FEV1 and EDC mildly, inhibite circulating slightly. Elderly suffers would be tolerated laparoscopic cholecystectomy smoothly as long as the various indications of the patients monitored carefully and handled timely.

关 键 词：腹腔镜胆囊切除 气腹 气管插管 全身麻醉 

分 类 号：R614[医药卫生—麻醉学]