加温腹腔镜气腹对胃肠手术后患者恢复的影响

Influence of heating of laparoscopic pneumoperitoneum on recovery of patients after gastrointestinal operation

目的探讨二氧化碳（CO2）气体温度对腹腔镜胃肠手术后患者恢复的影响。方法抽取100例胃肠手术患者，随机分为实验组及对照组各50例，实验组采用加温至37℃的CO2气体建立气腹，对照组常规建立气腹，观察术后2组患者气管插管拔管时间、肛门排气时间、拔除胃管时间。结果实验组患者术后气管插管拔管时间、肛门排气时间和拔除胃管时间均早于对照组。结论对腹腔镜胃肠道手术患者采用加温至37℃的CO2气体建立气腹，可有效促进患者术后的康复。

Objective To study the influence of carbon dioxide （CO2）gas temperature on recovery of patients after laparoscopic gastrointestinal operation. Methods 100 cases with gastrointestinal opera- tion patients were selected and randomly divided into the experimental group and the control group with 50 patients in each. In the experimental group, pneumoperitoneum was established with CO2 gas heated to 37℃, and the control group used routine method to establish pneumoperitoneum. The items such as postoperative tracheal extubation time, anal exhaust time and extubation time were observed in two groups of patients. Results The endotracheal tube extubation time, anal exhaust time and extubation time in the experimental group were earlier than those in the control group. Conclusions Using CO2 gas heated to 37℃ to establish pneumoperitoneum during laparoscopic gastrointestinal operation can effectively promote the rehabilitation of patients after operation.