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目的:探讨气压治疗仪在腹腔镜下全子宫切除术中的应用价值。方法:选择全麻行腹腔镜下全子宫切除术的患者233例,根据随机原则将患者分为两组,术中使用气压治疗仪组(试验组,n=116)和不使用气压治疗仪组(对照组,n=117)。观察两组患者不同时间点的平均动脉压(MAP)和心率(HR);术后回访统计两组患者下肢麻木和下肢深静脉血栓形成(DVT)的发生例数。结果:试验组和对照组在不同时间点的MAP和HR比较无显著统计学差异。试验组术后下肢麻木和DVT的发生率分别为5.9%和3.4%,低于对照组下肢麻木和DVT的发生率(13.7%和8.6%),两组比较具有显著性统计学差异。结论:腹腔镜下全子宫切除术中使用气压治疗仪不影响全麻患者正常生命体征,可以减少患者术后下肢麻木和DVT的发生。
Objective: To investigate the value of barograph in laparoscopic hysterectomy. Methods: A total of 233 patients undergoing laparoscopic total hysterectomy under general anesthesia were divided into two groups according to the randomized principle. The patients underwent laparoscopic hysterectomy (experimental group, n = 116) (Control group, n = 117). The mean arterial pressure (MAP) and heart rate (HR) at different time points were observed. The incidence of numbness and deep venous thrombosis (DVT) in the two groups were analyzed retrospectively. Results: There was no significant difference in MAP and HR between experimental group and control group at different time points. The incidences of postoperative numbness and DVT of the lower extremities in the experimental group were 5.9% and 3.4%, respectively, which were lower than those of the control group (13.7% and 8.6%) in numbness and DVT of the lower extremities. There were significant statistical differences between the two groups. Conclusion: The laparoscopic hysterectomy using barometer does not affect the normal vital signs in patients with general anesthesia, can reduce postoperative numbness and DVT of the lower limbs.