中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
12期
78-79
,共2页
腹腔镜%体位%二氧化碳%肩痛
腹腔鏡%體位%二氧化碳%肩痛
복강경%체위%이양화탄%견통
Laparoscopic%Body position%Carbon dioxide%Shoulder pain
目的：研究上肢体位和残留CO2对腹腔镜胆囊切除术后肩痛的影响。方法将该院于2014年1月-2014年6月收治的120例行腹腔镜胆囊切除术的患者按照体位倾斜程度以及CO2气体与否放入不同，随机分为A、B、C、D组，每组30例，用同一套腹腔镜设备，行胆囊切除术，术后采用视觉模拟评分法评估4组患者术后肩部疼痛程度，比较术后疼痛程度。结果A组与B组比较，术后抽出残留CO2气体与不抽出患者相比，术后两组肩痛程度比较有统计学意义(P≤0.05)，抽出残留CO2气体的患者术后肩痛程度减轻；A组与C组比较，术后两组肩痛程度比较有统计学意义(P≤0.05)，C组患者术后肩痛程度比A组明显。结论腹腔镜胆囊切除术时采取不同的上肢体位和手术结束时是否排出残留CO2气体对患者术后的肩部疼痛均有影响。行腹腔镜胆囊切除术时，上肢外展角度应在60~70o之间,且术后抽出腹腔残留CO2，可以减轻术后患者肩部疼痛程度。
目的：研究上肢體位和殘留CO2對腹腔鏡膽囊切除術後肩痛的影響。方法將該院于2014年1月-2014年6月收治的120例行腹腔鏡膽囊切除術的患者按照體位傾斜程度以及CO2氣體與否放入不同，隨機分為A、B、C、D組，每組30例，用同一套腹腔鏡設備，行膽囊切除術，術後採用視覺模擬評分法評估4組患者術後肩部疼痛程度，比較術後疼痛程度。結果A組與B組比較，術後抽齣殘留CO2氣體與不抽齣患者相比，術後兩組肩痛程度比較有統計學意義(P≤0.05)，抽齣殘留CO2氣體的患者術後肩痛程度減輕；A組與C組比較，術後兩組肩痛程度比較有統計學意義(P≤0.05)，C組患者術後肩痛程度比A組明顯。結論腹腔鏡膽囊切除術時採取不同的上肢體位和手術結束時是否排齣殘留CO2氣體對患者術後的肩部疼痛均有影響。行腹腔鏡膽囊切除術時，上肢外展角度應在60~70o之間,且術後抽齣腹腔殘留CO2，可以減輕術後患者肩部疼痛程度。
목적：연구상지체위화잔류CO2대복강경담낭절제술후견통적영향。방법장해원우2014년1월-2014년6월수치적120례행복강경담낭절제술적환자안조체위경사정도이급CO2기체여부방입불동，수궤분위A、B、C、D조，매조30례，용동일투복강경설비，행담낭절제술，술후채용시각모의평분법평고4조환자술후견부동통정도，비교술후동통정도。결과A조여B조비교，술후추출잔류CO2기체여불추출환자상비，술후량조견통정도비교유통계학의의(P≤0.05)，추출잔류CO2기체적환자술후견통정도감경；A조여C조비교，술후량조견통정도비교유통계학의의(P≤0.05)，C조환자술후견통정도비A조명현。결론복강경담낭절제술시채취불동적상지체위화수술결속시시부배출잔류CO2기체대환자술후적견부동통균유영향。행복강경담낭절제술시，상지외전각도응재60~70o지간,차술후추출복강잔류CO2，가이감경술후환자견부동통정도。
Objective To study the upper limb position and residual CO2 effects on shoulder pain after laparoscopic cholecystectomy. Methods In our hospital from 2014 January to 2014 june were treated 120 patients underwent laparoscopic cholecystectomy in a different position or not the degree of tilt and CO2 gas, randomly divided into A,B,C,D group, 30 cases in each group,with the same set of laparoscopic equipment,cholecystectomy,postoperative visual analogue scale method is used to evaluate four groups of patients of postoperative shoulder pain degree,compare the degree of postoperative pain. Results Compared with groupB and groupA, compared to patients with residual CO2 and postoperative pulled out, two groups of postoperative shoulder pain level was statistically significant (P≤0.05) or less, pulled out of postoperative shoulder pain of patients with residual CO2 gas loss; Group A compared with groupC, two groups of postoperative shoulder pain level was statistically significant (P≤0.05), the degree of postoperative shoulder pain in patients with groupC than in groupA. Conclusion laparoscopic cholecystectomy when take different upper position and whether or not the operation at the end of the residual CO2 gas discharge all affect the postoperative shoulder pain for patients. Laparoscopic cholecystectomy, the upper limb abducent angles should be at 60~70o,drawn and postoperative abdominal residual CO2,can reduce the degree of postoperative patients with shoulder pain.
