十二指肠镜下微创治疗术对胆胰疾病患者心肺功能的影响  

Influence of duodenoscopic minimally invasive treatment on cardiorespiratory function of patients with pancreatobiliary diseases

作　　者：韦良宏[1] 陈凤坤[1] 陈海东[1] 陈梅颜[1] 

机构地区：[1]钦州市第一人民医院消化内科,广西535000

出　　处：《中国临床新医学》2011年第6期509-511,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西钦州市科学研究与技术开发计划项目(编号:20080817)

摘　　要：目的探讨十二指肠镜下微创治疗术对胆胰疾病患者心肺功能的影响。方法对45例胆胰疾病患者行十二指肠镜下微创治疗术,分析术前、术中、术后收缩压、舒张压、心率、指脉血氧饱和度的变化,评价十二指肠镜下微创治疗术对心肺功能的影响。结果 45例患者中,88.89%(40/45)1次镜下治疗成功,11.11%(5/45)2次镜下治疗成功。微创治疗过程中HR明显高于治疗前及治疗后(P<0.05),HR治疗前与治疗后比较,差异无统计学意义(P>0.05);SpO_2、SBP、DBP治疗前、治疗中、治疗后比较,差异无统计学意义(P>0.05)。结论十二指肠镜下微创治疗术治疗胆胰疾病是安全、有效的,对病人心肺功能无明显影响,可成为治疗胆胰疾病的首选方法。Objective To explore influence of duodenoscopic minimally invasive treatment on eardiorespiratory function of patients with pancreatobiliary diseases. Methods In 45 patients with panereatobiliary diseases undergoing duodenoseopic minimally invasive treatment, the changes of preoperative, intraoperative and post-operative systolic blood pressure（ SBP）, diastolic blood pressure （DBP）, heart rate （HR）, saturation of blood oxygen （SpO2 ）, were analyzed in order to evaluate the influence of duodenoscopie minimally invasive treatment on cardiorespiratory function of patients with pancreatobiliary diseases. Results In 45 patients, 40 patients （88. 89% ） were successful operated in the first duodenoscopic treatment, 5 patients （ 11.11% ） were successful operated in the second duodenoscopic treatment. Intraoperative HR was higher than preoperative and post-operative HR （ P 〈 0.05 ）, there are no significant difference between preoperative HR and post-operative HR （ P 〉 0.05 ）. Preoperative, intraoperative, post- operative SBP, DBP, SpO2 did not have significant difference （ P 〉 0. 05 ）. Conclusion Duodenoscopic minimally invasive treatment is safe and effective without significant influence on cardiorespiratory function, and should become the first treatment method for patients with pancreatobihary diseases.

关 键 词：十二指肠镜 微创治疗 胆胰疾病 心肺功能 

分 类 号：R657.4[医药卫生—外科学]