不同CO_(2)气腹压对胆囊结石腹腔镜胆囊切除术患者的影响分析  

Analysis on Influence of Different CO2 Pneumoperitoneum Pressures on Patients with CholecystolithiasisUndergoing Laparoscopic Cholecystectomy

作　　者：于海洋 魏维 单凯 江杨 Yu Haiyang;Wei Wei;Shan Kai;Jiang Yang(Department of Hepatobiliary Surgery,Yancheng Tinghu District People′s Hospital,Yancheng 224000,Jiangsu Province,China)

机构地区：[1]盐城市亭湖区人民医院肝胆外科,江苏盐城224000

出　　处：《中国社区医师》2024年第20期43-45,共3页Chinese Community Doctors

摘　　要：目的:探究不同CO_(2)气腹压对胆囊结石腹腔镜胆囊切除术患者的影响。方法:选取2021年3月—2023年9月于盐城市亭湖区人民医院行腹腔镜胆囊切除术的86例胆囊结石患者作为研究对象,按照随机数字表法分为常规组和低压组,各43例。术中,常规组予以常规压力(12~15 mmHg),低压组予以低压力(9 mmHg)。比较两组肠道功能恢复情况、并发症发生情况、生命体征、疼痛程度。结果:低压组术后首次排气时间、术后首次排便时间、术后首次进食时间均早于常规组(P<0.001)。低压组并发症总发生率低于常规组(P=0.024)。术前,两组心率、平均动脉压比较,差异无统计学意义(P>0.05);术后即刻,两组心率、平均动脉压高于术前,但低压组低于常规组(P<0.05)。术后即刻,两组疼痛评分比较,差异无统计学意义(P>0.05);术后3 d,两组疼痛评分低于术后即刻,且低压组低于常规组(P<0.05)。结论:相较于常规CO_(2)气腹压,低CO_(2)气腹压在腹腔镜胆囊切除术患者中的应用效果更优,可促进患者术后肠道功能恢复,稳定生命体征,减轻术后疼痛,降低并发症发生率。Objective:To investigate the influence of different CO_(2) pneumoperitoneum pressures on patients with cholecystolithiasis undergoing laparoscopic cholecystectomy.Methods:A total of 86 patients with cholecystolithiasis who underwent laparoscopic cholecystectomy at Yancheng Tinghu District People's Hospital from March 2021 to September 2023 were selected as the study subjects.They were divided into conventional group and low-pressure group according to random number table method,with 43 cases in each group.During the operation,the conventional group was given conventional pressure(12-15 mmHg),and the low-pressure group was given low pressure(9 mmHg).The recovery of intestinal function,the occurrence of complications,vital signs and pain levels were compared between the two groups.Results:The time of first postoperative exhaust,the time of first postoperative defecation,and the time of first postoperative feeding in the low-pressure group were earlier than those in the conventional group(P<0.001).The total incidence of complications in the low-pressure group was lower than that in the conventional group(P=0.024).Before operation,there was no significant difference in heart rate and mean arterial pressure between the two groups(P>0.05).Immediately after operation,the heart rate and mean arterial pressure in the two groups were higher than those before operation,but these indexes in the low-pressure group were lower than those in the conventional group(P<0.05).Immediately after operation,there was no significant difference in pain scores between the two groups(P>0.05).On 3 d after operation,the pain scores in the two groups were lower than those immediately after operation,and the scores in the lowpressure group were lower than those in the conventional group(P<0.05).Conclusion:Compared with conventional CO_(2) pneumoperitoneum pressure,low CO_(2) pneumoperitoneum pressure has a better application effect in patients undergoing laparoscopic cholecystectomy,which can promote the postoperative recovery of intestinal fun

关 键 词：胆囊结石 CO_(2)气腹压 并发症 肠道功能 腹腔镜胆囊切除术 

分 类 号：R657.42[医药卫生—外科学]