低压性后腹腔镜CO_2气腹对患者机能的影响  

作　　者：余刚 吴颜娟 杨水华 高绍青 陶勇 

机构地区：[1]广东省湛江市中心人民医院泌尿外科,524037

出　　处：《当代医学》2012年第17期42-44,共3页Contemporary Medicine

摘　　要：目的探讨低压性CO2气腹(12mmHg)在后腹腔镜手术中的应用价值。方法选择后腹腔镜手术患者60例,随机分为两组,术中气腹压力分别设定为12mmHg(低压力组)和15mmHg(标准压力组),监测气腹前、气腹后30min、60min和放气后30min血流动力学和动脉血气的变化;观察手术时间、术中出血量、并发症发生率等指标。结果两组患者组内气腹后30min、60min患者心率(HR)、平均动脉压(MAP)、中心静脉压(CVP)、动脉血二氧化碳分压(PaCO2)、pH较气腹前有显著性差异(P<0.05),组间比较无差异(P>0.05);手术时间、术中出血量、并发症发生率比较无差异(P>0.05)。结论低压力CO2气腹在后腹腔镜手术中有一定的应用价值,尤其适合有熟练操作技巧的医生。Objective To explore the value of low CO2 insufflation pressure in the retroperitoneum laparoscopic operation.Methods 60 cases treated with laparoscopic were divided into two groups,low pneumoperitoneum pressure group（12mmHg） and standard pneumoperitoneum pressure group（15mmHg）.Hemodynamics and arterial blood gas were measured at four points：time before CO2 insufflation,30 and 60 minutes after insufflations,30 minutes after exsufflation.The operating time,bleeding volum and complicating diseases were observed.Results In the two groups,HR,MAP,CVP,PaCO2 and pH were increased significantly at 30 and 60 minutes after insufflations（P〈0.05）,while no significant difference was found between the two groups（P 〉0.05）.The operating time,bleeding volum and complicating diseases had no significant difference in the two groups（P〉 0.05）.Conclusion The low pressure CO2 insufflation is value in the retroperitoneum laparoscopic operation.Especially,it suits for a doctor who has familiar with operation skill.

关 键 词：后腹腔镜手术 血流动力学 动脉血气 CO2气腹 

分 类 号：R656.6[医药卫生—外科学]