肺保护性通气对妇科腹腔镜手术患者肺损伤的预防应用价值探讨

Preventive value of lung protective ventilation on lung injury in patients undergoing gynecological laparoscopic surgery

目的探讨分析肺保护性通气对妇科腹腔镜手术患者肺损伤的预防应用价值。方法选取本院在2016年5月至2018年5月期间收治的66例妇科腹腔镜患者作为研究对象,按照随机数字表法分为观察组与对照组,每组33例。对照组患者给予常规通气治疗,观察组患者采取肺保护通气治疗。两组患者均治疗1个月后,对比分析两组患者的肺功能指标(PEF、FVC及FEV1)及临床效果,气腹时间、手术时间及住院时间情况。结果治疗后,观察组肺功能(PEF、FVC及FEV1)指标增加幅度显著高于对照组(P<0.05);对照组患者临床有效率低于观察组(72.73%vs 93.94%),差异具有统计学意义(P<0.05);两组患者的气腹、手术及住院时间相比差异无统计学意义。结论对妇科腹腔镜手术患者,采取肺保护性通气策略治疗效果较好,可有效的改善患者术后肺功能情况,促进患者康复时间,不影响其手术及气腹时间。

Objective To investigate and analyze the preventive value of lung protective ventilation on lung injury in patients undergoing gynecological laparoscopic surgery.Methods66cases patients of gynecologic laparoscopy admitted to our hospital from May2016to May2018were selected as the research subjects.According to the random number table method,they were divided into observation group and control group,33cases in each group.The patients in the control group were given conventional ventilation,while the patients in the observation group were treated with lung protective ventilation.After one months of treatment in the two groups,the pulmonary function index(PEF,FVC and FEV1)and the clinical effect,pneumoperitoneum,operation and time of hospitalization were compared and analyzed in the two groups.Results After treatment,the increase of pulmonary function(PEF,FVC and FEV1)in the observation group was significantly higher than that in the control group(P<0.05),and the clinical effective rate of the control group was lower than that of the observation group(72.73%vs93.94%),there was no significant difference in the pneumoperitoneum,operation and residence time between the two groups,and no statistical significance.Conclusion The therapeutic effect of pulmonary protective ventilation is better for the patients with gynecologic laparoscopy,which can effectively improve the postoperative lung function and promote the recovery time without affecting the operation and pneumoperitoneum time.