摘要
目的探讨腹腔镜手术二氧化碳残留的危害及减少腹腔镜手术患者腹腔内二氧化碳残留的措施。方法 98例子宫肌瘤行腹腔镜手术治疗的患者,随机分为实验组和对照组,手术即将结束时,实验组采取相应措施尽量排尽腹腔内CO2,然后关闭手术切口,对照组在关闭CO2后即关闭手术切口。结果实验组术后呼气末二氧化碳分压、收缩压、心率及呼吸低于对照组,心律失常的发生率低于对照组,患者术后的不适感少于对照组,差异均有统计学意义(P<0.05)。结论通过有效方法减少气腹腹腔镜手术残留的CO2,可明显减少CO2的吸收和刺激,减少患者的痛苦,提高手术及护理质量。
Objective To study the hazard caused by carbon dioxide after laparoscopical operations and discuss the measures to reduce internal residual carbon dioxide. Methods 98 patients with uterine leiomyoma were treated with operation under the laparoscope. They were randomly divided into experimental group and control group. The experimental group were taken relevant measures to reduce internal residual carbon dioxide of abdominal cavity when the operation was about to end. In the control group, the carbon dioxide was closed immediately when the operation was about to end. Results The postoperative PetCO2, systolic blood pressure, heart rate, respiration and arrhythmias in the experimental group were lower than that in control group. The patients＇ discomfort after operation was lower than that in control group. Conclusion We can reduce carbon dioxide＇s side effects by reducing internal residual carbon dioxide through the effective methods. It can improve the medical and nursing quality.
出处
《中国医药指南》
2011年第36期36-37,共2页
Guide of China Medicine
关键词
腹腔镜
气腹
二氧化碳残留
Laparoscope
Pneumoperitoneum
Carbon dioxide
