不同温度二氧化碳气腹对腹腔镜胆囊切除术后肠道功能和疼痛的影响  

Effects of Carbon Dioxide Pneumoperitoneum at Different Temperatures on Intestinal Function and Postoperative Pain after Laparoscopic Cholecystectomy

作　　者：李世艳[1] 胡雪飞[1] 刘伏嫦[1] 邓琳[1] 

机构地区：[1]武汉市第一医院手术室,湖北武汉430022

出　　处：《医学新知》2013年第3期182-184,共3页New Medicine

基　　金：基金项目：武汉市卫生局资助（编号：武卫[2012]70号WZ12B01）

摘　　要：目的探讨不同温度二氧化碳（CO2）气腹对腹腔镜胆囊切除术（1aparoscopic cholecystectomy，LC）患者术后肠道功能和疼痛的影响。方法选择160例拟做LC的患者，随机分为两组：常规低体温组（21℃，n=80）和加温等体温组（35℃，n=80）。术后测定两组患者的肠道功能（包括肠鸣音、恶心呕吐、第一次排气时间等）和疼痛（切口痛、肩背痛）的影响。结果等体温组术后肠道功能恢复情况优于低体温组（P〈0．05），术后两组患者疼痛例数无明显差异（P〉0．05）。结论腹腔镜手术采用加温CO2建立气腹，可加快LC患者术后肠道功能的恢复。Objective To investigate the effect of carbon dioxide（ CO2 ）pneumoperitoneum at different temperature on intestinal function and postoperative pain after laparoscopic cholecystectomy （LC）. Methods 160 patients undergoing LC in our hospital were randomly assigned into 2 groups： hypothermia group （21℃, n = 80 ）and isothermic group （35 ℃, n = 80 ）. Intestinal function （ borborygmus, nausea, first exhaust time） and postoperative pain （ incision pain, shoulder and back pain）were measured after operation. Results Recovery of intestinal function was better in isothermic group（P 〈 0.05 ）. There was no significantly difference in postoperative pain in two groups （P 〉 0.05 ）. Conclusion LC using pneumoperitoneum with isothermic CO2 can shorten the recovery time of intestinal function after operation.

关 键 词：二氧化碳气体 温度 腹腔镜胆囊切除术 肠道功能 疼痛 

分 类 号：R619.9[医药卫生—外科学]