CO_2温度对腹腔镜胃肠手术患者术后恢复的影响  

Effect of CO_2 temperature on post-operative recovery for patients undergoing laparoscopic gastrointestinal operation

作　　者：贾占辉[1] 冉战玲[1] 罗新书[1] 

机构地区：[1]河北医科大学第二医院手术室,河北石家庄050000

出　　处：《护士进修杂志》2013年第7期585-586,共2页Journal of Nurses Training

基　　金：河北省医学科学重点研究项目(编号:20100295)

摘　　要：目的探讨加温至37℃的CO2气体建立气腹对腹腔镜胃肠手术患者的干预效果和影响。方法将60例行腹腔镜胃肠手术的患者随机分为两组,实验组30例,患者术中采用加温至37℃CO2气体建立气腹,对照组30例,患者给予桶装22℃未加温CO2气体建立气腹。结果两组患者术后体温、肛门排气时间、创口疼痛评分相比,差异有显著意义(P<0.01),两组患者建立气腹前体温、手术进行时间、切口拆线时间相比,差异无显著意义(P>0.05),术后发热、寒颤、胃肠功能紊乱等并发症比较,实验组发生率显著低于对照组,差异有极显著意义(P<0.01)。结论采用加温到37℃的CO2气体建立气腹进行腹腔镜胃肠手术,可以改善患者的体温及肛门排气时间和疼痛程度,降低术后并发症的发生。Objective To study the intervention effect by heating CO2 to 37 ℃ for establishment of pneumoperitoneum for laparoscopic gastrointestinal operation. Method 60 routine laparoscopic gastrointestinal operation were randomly divided into two groups, experimental group 30 cases, patients with CO2 heating to 37 ℃ gas for establishment of pneumoperitoneum, 30 cases in the control group were given CO2 in 22℃ without heating for establishment of pneumoperitoneum. Result In two groups of patients with postoperative body temperature, anal exhaust time, wound pain score was compared, there was significant difference （P〈0.01）. Establishing pneumoperitoneum ternperature time, incision suture removal time was compared, there was no significant difference between the two groups of patients before operation（P〉 0. 05 ）, postoperative fever, chills, gastrointestinal disorders and other complications were compared, experimental groups was significantly lower than that of control group, there was significant difference （P〈0.01）. Conclusion By adopting CO2 heating to 37 ℃ gas for establishment of pneumoperitoneum for laparoscopic gastrointestinal operation can improve the patients＂ body temperature, anal exhaust time and degree of pain, reduce postoperative morbidity, and achieved very good results.

关 键 词：腹腔镜 CO2气体 胃肠手术 

分 类 号：R473.6[医药卫生—护理学] R655.6[医药卫生—临床医学]