延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2015年
14期
221-222
,共2页
体位%腹腔镜胆囊手术%气腹%手术时间%血流动力学%影响
體位%腹腔鏡膽囊手術%氣腹%手術時間%血流動力學%影響
체위%복강경담낭수술%기복%수술시간%혈류동역학%영향
positionla paroscopic%cholecystectomypneu moperitoneumhemodynamics%influence
目的：探究不同体位对腹腔镜胆囊手术患者术中气腹及手术时间和血流动力学的影响。方法：选取自2012年1月至2015年3月我院收治的60例行腹腔镜胆囊手术治疗的患者为本次研究对象，从术中体位选取角度出发，将其随机分成两组，其中对照组取头高足低体位，实验组取头低足高体位，对比两组术中气腹及手术时间与血流动力学改变情况。结果：①T1时，两组中心静脉压、收缩压及舒张压均无显著性改变（P＞0.05）；②T2、T3时点，两组中心静脉压及舒张压、收缩压均较TI时点明显上升，但实验组中心静脉压升高幅度较对照组高（P＜0.05），舒张压、收缩压较对照组无显著性改变（P＞0.05）；③T4时，两组中心静脉压、收缩压及舒张压无明显变化（P＞0.05）；④两组手术时间比较差异无显著性（P＞0.05）。结论：不同体位对腹腔镜胆囊手术患者术中气腹及血流动力学具有十分重要的影响，临床上应引起足够重视。
目的：探究不同體位對腹腔鏡膽囊手術患者術中氣腹及手術時間和血流動力學的影響。方法：選取自2012年1月至2015年3月我院收治的60例行腹腔鏡膽囊手術治療的患者為本次研究對象，從術中體位選取角度齣髮，將其隨機分成兩組，其中對照組取頭高足低體位，實驗組取頭低足高體位，對比兩組術中氣腹及手術時間與血流動力學改變情況。結果：①T1時，兩組中心靜脈壓、收縮壓及舒張壓均無顯著性改變（P＞0.05）；②T2、T3時點，兩組中心靜脈壓及舒張壓、收縮壓均較TI時點明顯上升，但實驗組中心靜脈壓升高幅度較對照組高（P＜0.05），舒張壓、收縮壓較對照組無顯著性改變（P＞0.05）；③T4時，兩組中心靜脈壓、收縮壓及舒張壓無明顯變化（P＞0.05）；④兩組手術時間比較差異無顯著性（P＞0.05）。結論：不同體位對腹腔鏡膽囊手術患者術中氣腹及血流動力學具有十分重要的影響，臨床上應引起足夠重視。
목적：탐구불동체위대복강경담낭수술환자술중기복급수술시간화혈류동역학적영향。방법：선취자2012년1월지2015년3월아원수치적60례행복강경담낭수술치료적환자위본차연구대상，종술중체위선취각도출발，장기수궤분성량조，기중대조조취두고족저체위，실험조취두저족고체위，대비량조술중기복급수술시간여혈류동역학개변정황。결과：①T1시，량조중심정맥압、수축압급서장압균무현저성개변（P＞0.05）；②T2、T3시점，량조중심정맥압급서장압、수축압균교TI시점명현상승，단실험조중심정맥압승고폭도교대조조고（P＜0.05），서장압、수축압교대조조무현저성개변（P＞0.05）；③T4시，량조중심정맥압、수축압급서장압무명현변화（P＞0.05）；④량조수술시간비교차이무현저성（P＞0.05）。결론：불동체위대복강경담낭수술환자술중기복급혈류동역학구유십분중요적영향，림상상응인기족구중시。
Objective To explore influence that different position has on pneumoperitoneum, the time of operation and hemodynamics of patients with laparoscopic cholecystectomy. Methods 60 patients who had laparoscopic gal bladder surgery in the hospital from January 2012 to March 2015 were chosen as the object of this research. From the perspective of intraoperative posture selection, they were randomly divided into two groups. Patients in the control group took the high-low posi-tion of head and feet while the experimental group took the contrary position. Changes of pneumoperitoneum, the time of operation and the hemodynamics in both two groups were compared. Results ①When it was T1, the central venous pressure, systolic and diastolic blood pressure of two groups of were not significantly changed (P>0.05).②When it was T2、T3, central venous pressure and diastolic blood pressure, systolic blood pressure of two groups were significantly increased than TI, but the elevated amplitude of central venous pressure in experiment group was higher than control group (P<0.05) with diastolic blood pressure, systolic blood pressure showing no significant difference (P>0.05).③When it was T4, the central venous pressure, systolic and diastolic blood pressure of the two groups showed no signifi-cant change (P>0.05).④There was no significant difference in the time of operation in two groups(P>0.05). Conclusion The different position has very important influence on the pneumoperitoneum and hemodynamics in patients with laparoscopic cholecystectomy . Enough clinical attention should be paid.
