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腹腔镜术中体位对呼吸循环功能的影响

Effects of body posture on respiratory and circulative function during laparoscopy
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摘要 目的:观察腹腔镜手术期间,体位对患者呼吸循环功能的影响。方法:本组60例,分为A组和B组,A组为女性腹腔镜胆囊切除术患者30例,术中取反向特伦伯格氏卧位;B组为女性卵巢囊肿切除术患者30例,术中取特伦伯格式卧位,监测气腹前、气腹后体位改变前、后15min3、0min及术毕气管导管拔出后10min时的MAP、HR、SpO2、Comp(肺胸顺应性)、Raw(气道阻力)、Ppeak(气道峰压)、PETCO2。结果:气腹及体位后两组患者HR、MAP、Ppeak、Paw、PETCO2明显升高,Comp降低,组内分别与气腹前相比,差异均有显著性(P<0.05);组间比较气腹后A组Paw、Ppeak、PETCO2明显高于B组,Comp低于B组,差异均有显著性(P<0.05),拔管后B组患者HR、MAP明显高于A组。结论:气腹与体位均使患者循环动力学发生改变,通气功能下降,其中以特伦伯格氏卧位下降更为明显。
出处 《西南国防医药》 CAS 2005年第5期517-519,共3页 Medical Journal of National Defending Forces in Southwest China
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