加温二氧化碳气腹在宫外孕腹腔镜手术患者中的应用分析  

Applied analysis of pneumoperitoneum with heated carbon dioxide in laparoscopic surgery on patients with ectopic pregnancy

作　　者：刘伏嫦[1] 李世艳[1] 胡雪飞[1] 

机构地区：[1]武汉市第一医院手术室,湖北武汉430030

出　　处：《中国计划生育和妇产科》2016年第7期16-18,共3页Chinese Journal of Family Planning & Gynecotokology

基　　金：武汉市卫生局临床医学科研项目(项目编号:WZ12B01)

摘　　要：目的探讨加温CO2气腹在宫外孕腹腔镜手术患者中的应用效果。方法选取2013年8月至2015年12月宫外孕且择期于武汉市第一医院行妇科腹腔镜手术的患者100例,随机分为加温CO2气腹组和不加温气腹组,每组各50例,加温组患者在手术中使用WOLF加温气腹机,CO_2加温至37℃,不加温组患者常规处理,不使用加温CO_2。比较两组患者手术时间、肛门排气时间、住院时间、血气指标变化、手术前后体温变化以及寒战发生情况。结果加温组患者住院时间明显短于不加温组,加温组手术开始后各个时间点的体温以及手术结束时的体温均明显高于相应时间不加温组的体温,加温组患者中有6例(12.00%)发生寒战,而不加温组患者中有41例(82.00%)术后发生寒战,差异有统计学意义(P<0.05)。结论在宫外孕腹腔镜手术中应用加温CO_2建立气腹,能够降低寒战发生率,有效维持手术患者围手术期的正常体温。Objective To explore the application effect of pneumoperitoneum with heated carbon dioxide （CO2） in laparoscopic surgery on patients with ectopic pregnancy. Methods 100 patients with eetopic pregnancy who chose gynecological laparoscopic surgery in Wuhan No. 1 Hospital from August 2013 to December 2015 were selected as the research object. Divided them into pneumoperitoneum with heated CO2 group and pneumoperitoneum with non - heated C02 group randomly, each group with 50 cases. The pneumoperitoneum with heated CO2 group use the WOLF heating pneumoperitoneum machine, the temperature of the CO2 was 37~C, and the other group used the conventional treatment, non -heated CO2. The surgery time, anus exhaust time, hospital stay, the change of blood gas index, the change of the body temperature pre - and postoperation, and the occurrence rate of shiver of two groups were compared. Results The hospital stay of the heated group was obvious shorter than that of non - heated group. The body temperature in heated group during pre -, post - operation and every time points were higher than those in non - heated group. Theoccurrence rate of shiver in the heated group was 12.00%, and that in the non - heated group was 82.00%, which had signficiant differences（P 〈 0.05 ）. Conclusion The application of pneumoperitoneum with heated CO2 in laparoscopic surgery on the patients with ectopic pregnancy can decrease the occurrence rate of shiver and maintain the patient＇ s body temperature during perioperative period effectively.

关 键 词：体温 二氧化碳 气腹 宫外孕 腹腔镜 

分 类 号：R714.22[医药卫生—妇产科学]