论文部分内容阅读
目的探讨加温CO2气腹在宫外孕腹腔镜手术患者中的应用效果。方法选取2013年8月至2015年12月宫外孕且择期于武汉市第一医院行妇科腹腔镜手术的患者100例,随机分为加温CO2气腹组和不加温气腹组,每组各50例,加温组患者在手术中使用WOLF加温气腹机,CO_2加温至37℃,不加温组患者常规处理,不使用加温CO_2。比较两组患者手术时间、肛门排气时间、住院时间、血气指标变化、手术前后体温变化以及寒战发生情况。结果加温组患者住院时间明显短于不加温组,加温组手术开始后各个时间点的体温以及手术结束时的体温均明显高于相应时间不加温组的体温,加温组患者中有6例(12.00%)发生寒战,而不加温组患者中有41例(82.00%)术后发生寒战,差异有统计学意义(P<0.05)。结论在宫外孕腹腔镜手术中应用加温CO_2建立气腹,能够降低寒战发生率,有效维持手术患者围手术期的正常体温。
Objective To investigate the effect of warming CO2 pneumoperitoneum in patients with laparoscopic ectopic pregnancy. Methods 100 patients with ectopic pregnancy who underwent ectopic pregnancy and gynecological laparoscopic surgery at the First Hospital of Wuhan from August 2013 to December 2015 were randomly divided into warming CO2 pneumoperitoneum group and unheated pneumoperitoneum group, Fifty patients in warmed group were treated with WOLF warming pneumoperitoneum. The CO 2 was warmed to 37 ℃. The patients in non-warmed group were treated routinely without CO 2 warming. The operation time, anal exhaust time, hospitalization time, changes of blood gas index, changes of body temperature before and after operation and chills were compared between the two groups. Results The patients in warming group were significantly shorter in hospitalization time than those in non-warming group. The body temperature at each time point and the end of operation in warming group were significantly higher than those in non-warming group Chills occurred in 6 patients (12.00%), and chills occurred in 41 patients (82.00%) without warming group, with significant difference (P <0.05). Conclusion The application of warming CO_2 to establish pneumoperitoneum during laparoscopic ectopic pregnancy can reduce the incidence of chills and maintain the normal body temperature during perioperative period.