CO_(2)气腹管理对腹腔镜胆囊炎手术患者应激刺激及循环功能的影响研究  

Study of the Effects of CO_(2) Pneumoperitoneum Management on Stress Stimulation and Circulatory Function in Patients Undergoing Laparoscopic Cholecystitis Surgery

作　　者：程艳娜 Cheng Yanna(Department of General Surgery,the No.988 Hospital of Joint Logistic Support Force,Zhengzhou 450042)

机构地区：[1]联勤保障部队第九八八医院,郑州450042

出　　处：《数理医药学杂志》2022年第7期1072-1075,共4页Journal of Mathematical Medicine

摘　　要：目的:研究CO_(2)气腹管理的实施方法及在腹腔镜胆囊炎手术患者护理中的应用价值。方法:将某院收治的116例行腹腔镜胆囊炎手术治疗的患者随机分为C组和C+Q组各58例,采用常规护理,C+Q组采用常规护理+CO_(2)气腹管理护理。于气腹建立前后,分别检测两组患者的血清应激反应指标(NE、COR)和循环功能指标(HR、MAP)。结果:气腹后,C+Q组患者血清NE、COR均低于C组(P<0.05),C+Q组患者HR、MAP均低于C组(P<0.05)。两组出院时护理满意度评分相比,C+Q组评分显著高于C组,组间差异有统计学意义(P<0.05)。两组气腹后遗效应发生率相比,C+Q组显著低于C组,组间差异有统计学意义(P<0.05)。结论:于腹腔镜胆囊炎手术护理中通过CO_(2)气腹管理护理,能有效减轻手术应激刺激,改善患者循环功能,同时降低后遗效应发生率,改善患者的护理体验,值得在临床上推广应用。Objective:To study the implementation method of CO_(2) pneumoperitoneum management and its application value in the nursing care of patients undergoing laparoscopic cholecystitis surgery.Methods:A total of 116 patients with laparoscopic cholecystitis surgery in a hospital were randomly divided into group C(58 cases)and group C+Q(58 cases).Routine nursing and routine nursing+CO_(2) pneumoperitoneum management nursing were carried out in the surgical nursing in the two groups,respectively.Serum stress response indexes(NE,COR)and circulatory function indexes(HR,MAP)were detected before and after the establishment of pneumoperitoneum.Results:After pneumoperitoneum,serum NE,COR in C+Q group were lower than those in C group(P<0.05),and HR and MAP in C+Q group were lower than those in C group(P<0.05).The nursing satisfaction score at discharge in the C+Q score was significantly higher than that in the C group,with statistically significant difference(P<0.05).The incidence of posterior pneumoperitoneum effect in the group C+Q was significantly lower than that in the group C,and the difference was statistically significant(P<0.05).Conclusion:CO_(2) pneumoperitoneum management can effectively reduce surgical stress stimulation,improve patient circulatory function,reduce the incidence of posterior effect and improve patient nursing experience,which is worthy of promotion and application in clinical practice.

关 键 词：腹腔镜胆囊炎手术 CO_(2)气腹管理 应激刺激 循环功能 后遗效应 

分 类 号：R657.41[医药卫生—外科学]