CAJ | 학술논문

目的:采用无创的方法对中心静脉和下肢深静脉血流动力学进行监测,探讨妇科腹腔镜手术中CO2气腹对患者血流动力学的影响.方法:选择60例择期行妇科腹腔镜手术的患者为研究对象.麻醉诱导后通过无创血流动力学监测患者充气腹和放气腹前后的心率(HR)、平均动脉压(MAP)、每搏量(SV)、心输出量(CO)、下肢深静脉压力的变化.结果:充气腹前后HR、MAP和下肢深静脉压力显著升高(P<0.05),SV和CO下降但差异无显著性(P>0.05);放气腹前后的HR、MAP、SV及CO的变化差异无显著性(P>0.05),而下肢深静脉压力则显著性下降.结论:妇科腹腔镜手术时腹腔压力对中心静脉血流动力学影响比较小,而对外周特别是下肢深静脉血流影响较大.
목적:채용무창적방법대중심정맥화하지심정맥혈류동역학진행감측,탐토부과복강경수술중CO2기복대환자혈류동역학적영향.방법:선택60례택기행부과복강경수술적환자위연구대상.마취유도후통과무창혈류동역학감측환자충기복화방기복전후적심솔(HR)、평균동맥압(MAP)、매박량(SV)、심수출량(CO)、하지심정맥압력적변화.결과:충기복전후HR、MAP화하지심정맥압력현저승고(P<0.05),SV화CO하강단차이무현저성(P>0.05);방기복전후적HR、MAP、SV급CO적변화차이무현저성(P>0.05),이하지심정맥압력칙현저성하강.결론:부과복강경수술시복강압력대중심정맥혈류동역학영향비교소,이대외주특별시하지심정맥혈류영향교대.
Objective:To evaluate the influences of CO2-pneumoperitoneoum on hemodynamic parameter variations during gynecologic laparoscopic procedures through non-invasive methods. Methods:Sixty female patients sche duled for laparoscopy procedure undergoing general anesthesia were selected in this study. The HR, MAP, SV, CO, the pressure of deep veins of lower limb were monitored.Results:After inflation, HR, MAP, and the pressure of deep veins of lower limb increased significantly (P<0.05). But SV and CO remained stable(P>0.05).After deflation the hemodynamic parameters of HR, MAP, SV, CO did not alter significantly as compared with before deflation(P>0.05), but the pressure of deep veins of lower limb decreased significantly (P<0.05). Conclusion:Our data suggest that intraabdominal pressure peritoneal inflation exerts lit le influence on hemodynamic parameters of central vein and large influence on hemodynamic parameters of periph during the gynecologic laparoscopic procedure.