不同压力CO_2气腹对腹腔内感染炎症反应的影响  

Effect of Different Pressure CO_2 Pneumoperitoneum on the Intra-abdominal Infections Inflammatory Reaction

作　　者：亢文[1] 刘锐[1] 范长青[1] 任志国[1] 苗俊革[1] 王砚彬[1] 

机构地区：[1]中航工业哈尔滨二四二医院,黑龙江哈尔滨150066

出　　处：《航空航天医学杂志》2011年第9期1032-1033,共2页Journal of Aerospace medicine

摘　　要：目的:研究不同气压CO2气腹对腹腔感染炎症反应的影响。方法:将60例急性胆囊炎病例随机分为低气压气腹组(8～10 mmHg)和高气压气腹组(12～14 mmHg),分别于术前、术后3 h、24 h、3 d采血化验白细胞数,检测其血清CRP、IL-6、TNF-α水平,评价不同气压CO2气腹对腹腔感染炎症反应的影响。结果:高气压气腹组在多个时间段CRP、IL-6、TNF-α水平显著高于低气压气腹组。结论:低气压气腹较高气压气腹对腹腔内感染影响较轻。Objective：To study the different pressure CO2 pneumoperitoneum on the inflammatory response in intra -abdominal infection. Methods：60 patients with acute cholecystitis were randomly divided into low- pressure pneumo- peritoneum group （8 - 10 mmHg） and high -pressure pneumoperitoneum group （ 12 - 14 mmHg） , respectively, before surgery and 3 hours, 24 hours, 3 days after surgery laboratory white cell count, serum CRP, IL - 6, TNF - ot level, e- valuate the different pressure CO~ pneumoperitoneum on the inflammatory response in intra -abdominal infection. Results： The high - pressure pneumoperitoueum groups in a number of time periods CRP, IL - 6, TNF - α levels were significantly higher than the low - pressure pneumoperitoneum groups. Concluslons：Low pressure pneumoperito-neum on intra - abdominal infections affect light than high pressure pneumoperitoneum.

关 键 词：CO2气腹 腹腔镜镜手术 腹腔炎症反应 

分 类 号：R616[医药卫生—外科学]