摘要
目的探讨不同通气策略配合低压力CO2气腹在后腹腔镜手术中的运用。方法方便选择南通市通州区人民医院2009年3月—2015年12月期间收治的120例后腹腔镜手术患者,按通气量(MV)将患者分为4组,给予不同的通气策略;观察4组患者时间段内HR、MAP、CVP以及Pa CO2、Pa O2的数值。结果 4组患者气腹后T2、T3时间段的PaCO2和Pa O2均较气腹前T1有显著性变化(P<0.05);但B2组T3时间段的Pa CO2(42.3±1.7)较其他3组低,差异有统计学意义(P<0.05),同时Pa O2(261±52)也较其他3组高,差异有统计学意义(P<0.05)。结论即适当增加通气量,提高通气频率配合低压力CO2有助降低患者的Pa CO2,减少高碳酸血症(HC)的发生。
Objective To explore the use of different ventilation strategies with low pressure pneumoperitoneum in laparoscopic surgery in. Methods Choose tongzhou district people＇s hospital during March 2009 to December 2015,to Convenient select 120 patients after laparoscopic surgery, according to the volume of ventilation（MV） will be divided into 4 groups of patients, given different ventilation strategies; observation of four groups of patients in four groups of MAP 、 HR、 CVP and Pa CO2, Pa O2 value. Results Four groups of patients with T2 after pneumoperitoneum, T3 time, Pa CO2 and Pa O2 were lower than those before pneumoperitoneum, T1 had significant difference（P〈0.05）; B2 group T3 time Pa CO2（42.3±1.7） was lower than the other three groups, with significant difference（P〈0.05）, and Pa O2（261±52） is the other three groups, with significant difference（P〈0.05）. Conclusion The appropriate increase in ventilation, improve the ventilation frequency with low pressure CO2 can help reduce the patient＇s Pa CO2, reduce the occurrence of high serum carbonate（HC）.
出处
《中外医疗》
2016年第35期43-45,共3页
China & Foreign Medical Treatment
关键词
通气策略
低压力
后腹腔镜
Ventilation strategies
Low pressure
Retroperitoneoscopic
