摘要
目的分析二氧化碳(CO2)人工气腹压力设置对静吸复合全身麻醉下腹腔镜手术患者循环的影响。方法将120例静吸复合全身麻醉下腹腔镜手术患者随机分为A、B、C组,每组40例,术中分别设置不同的CO2人工气腹压力。比较三组气腹时间、手术时间、血流动力学参数及气道峰压。结果三组的气腹时间和手术时间比较,差异不显著(P>0.05);三组T2时刻的MAP、HR、Pmax均与T0时刻比较,差异不显著(P>0.05)。三组T1时刻的MAP、HR、Pmax均高于T0与T2时刻(P<0.05)。A组T1时刻的MAP、HR、Pmax均低于B、C组(P<0.05)。结论在静吸复合全身麻醉下腹腔镜手术患者中,设置不同CO2人工气腹压力对气腹时间及手术时间无明显影响,但10 mmHg CO2人工气腹压力对循环系统的影响更小。
Objective To analyze the effect of carbon dioxide (CO2) artificial pneumoperitoneum pressure setting on the circulation of patients undergoing laparoscopic surgery under intravenous ntravenous anesthesia combined with inhalation general anesthesia. Methods A total of 120 patients undergoing laparoscopic surgery under intravenous inhalation combined with inhalation general anesthesia were randomly divided into groups A, B and C, with 40 cases in each group. Different CO2 artificial pneumoperitoneum pressure was set during the operation. The pneumoperitoneum time, operation time, hemodynamic parameters and peak airway pressure were compared among the three groups. Results There were no significant differences in pneumoperitoneum time and operation time between the three groups (P>0.05). There were no significant differences in MAP, HRand Pmax at T2 and T0 among the three groups (P>0.05). The MAP, HR and Pmax at T1 of the three groups were higher than those at T0 and T2 (P<0.05). The MAP, HR and Pmax at T1 in the group A were lower than those in the group B and C (P< 0.05). Conclusion In patients undergoing laparoscopic surgery under intravenous anesthesia intravenous combined with inhalationgeneral anesthesia,different CO2 artificial pneumoperitoneum pressure had no significant effect on pneumoperitoneum time and operation time,but 10 mmHg CO2 artificial pneumoperitoneum pressure had less effecton circulatory system.
作者
张景田
陈新玲
ZHANG Jing-tian;CHEN Xin-ling(the People's Hospital of Shanyang County, Shangluo 726400, China)
出处
《临床医学研究与实践》
2019年第25期72-73,共2页
Clinical Research and Practice
关键词
腹腔镜手术
二氧化碳人工气腹压力
静吸复合麻醉
laparoscopic surgery
carbon dioxide artificial pneumoperitoneum pressure
intravenous inhalation combined inhalation anesthesia
