【摘要】 目的探讨加温至37℃的CO2气体建立气腹对腹腔镜胃肠手术患者的干预效果和影响。方法将60例行腹腔镜胃肠手术的患者随机分为两组,实验组30例,患者术中采用加温至37℃CO2气体建立气腹,对照组30例,患者给予桶装22℃未加温CO2气体建立气腹。结果两组患者术后体温、肛门排气时间、创口疼痛评分相比,差异有显著意义(P<0.01),两组患者建立气腹前体温、手术进行时间、切口拆线时间相比,差异无显著意义(P>0.05),术后发热、寒颤、胃肠功能紊乱等并发症比较,实验组发生率显著低于对照组,差异有极显著意义(P<0.01)。结论采用加温到37℃的CO2气体建立气腹进行腹腔镜胃肠手术,可以改善患者的体温及肛门排气时间和疼痛程度,降低术后并发症的发生。更多还原

【Abstract】 Objective To study the intervention effect by heating CO2 to 37 ℃ for establishment of pneumoperitoneum for laparoscopic gastrointestinal operation.Method 60 routine laparoscopic gastrointestinal operation were randomly divided into two groups,experimental group 30 cases,patients with CO2 heating to 37 ℃ gas for establishment of pneumoperitoneum,30 cases in the control group were given CO2 in 22 ℃ without heating for establishment of pneumoperitoneum. Result In two groups of patients with postoperative body temperature,anal exhaust time,wound pain score was compared,there was significant difference(P<0.01).Establishing pneumoperitoneum temperature time,incision suture removal time was compared,there was no significant difference between the two groups of patients before operation(P>0.05),postoperative fever,chills,gastrointestinal disorders and other complications were compared,experimental groups was significantly lower than that of control group,there was significant difference(P<0.01). Conclusion By adopting CO2 heating to 37 ℃ gas for establishment of pneumoperitoneum for laparoscopic gastrointestinal operation can improve the patients’ body temperature,anal exhaust time and degree of pain,reduce postoperative morbidity,and achieved very good results.更多还原