调整二氧化碳气腹压力对妇科腹腔镜手术后肩痛的影响

Effects of CO_2 pneumoperitoneum pressure on shoulder pain after gynecological laparoscopic operation

目的:探讨二氧化碳(CO2)气腹压力对妇科腹腔镜手术后肩痛的影响。方法:选取2013年1～6月我院行妇科腹腔镜手术患者80例,随机等分为两组,对照组常规手术,CO2气腹压力14 mmHg;试验组采取调节CO2气腹压力10 mmHg,观察两组颈肩痛发生情况和颈肩痛程度。结果:两组手术时间比较无统计学意义,试验组CO2用气量明显减少,颈肩痛发生率低于对照组。结论:合理调节气腹压力能有效减少CO2用气量,减轻妇科腹腔镜手术肩痛的发生率。

To investigate the effect of CO2 pneumoperitoneum pressure on shoulder pain after gynecological laparoscopic operation. Methods：Ran-domly selected 80 patients under gynecological laparoscopic operation,were divided into control group and experimental group. The control group were adopt-ed routine operation,CO2 pneumoperitoneum pressure 14 mmHg. The experimental group were adopted reasonable regulation of CO2 pneumoperitoneum pres-sure 10 mmHg. To observe the two groups of shoulder pain incidence and the degree of shoulder pain. Results：There was no significantly changes in two groups of operation time,the CO2 consumption of experimental group significantly reduced,the shoulder pain was lower than the control group. Conclusion：Adjust the pressure of neumoperitoneum can effectively reduce CO2 consumption,reduce the incidence of operation associated shoulder pain.