腹腔镜阑尾切除术不同CO_2气腹压力对局部疼痛的影响观察

Clinical observation of the local pain in the laparoscopic appendectomy by the different CO_2 pneumoperitoneum pressure

目的探讨腹腔镜阑尾切除术(LA)不同CO2气腹压力对局部疼痛的影响。方法将本院117例行LA的患者随机分为3组,每组39例,A组气腹压力为10mm Hg,B组气腹压力为12mm Hg,C组气腹压力为15mm Hg,比较3组术后肩部疼痛发生率及疼痛程度。结果 117例患者均顺利完成LA手术,无中转开腹病例。A组术后肩部疼痛程度与B组和C组比较均差异有统计学意义(P<0.05),B组与C组比较,差异无统计学意义(P>0.05)。结论 LA术后局部疼痛可能与人工气腹张力有关,在10mm Hg低压气腹下行LA,可显著降低LA术后局部疼痛情况。

Objective To explore the effect of the local pain in laparoscopic appendectomy （LA） by different I.~）2 pneumoperitoneum pressure. Methods 117 LA routine patients were randomly divided into three groups, 39 cases in each group, the CO2 pneumoperitoneum pressure in Group A was 10 mm Hg, and 12 mm Hg in Group B, 15 mm Hg in Group C, and the shoulder pain incidence and severity in three groups after surgery was compared. Results 117 patients were successfully completed the LA surgery, there was no transit operation case. Shoulder pain of group A af- ter treatment was significantly different from group B and group C （P〈0.05）, there was no significant difference between group B and group C （P〉0.05）.Conclusion LA postoperative local pain toneum tension. 10 mm Hg low-pressure pneumoperitoneum in LA can operative local pain. probably mainly due to artificial pneumoperi- significantly reduce the incidence of LA post-