【摘 要】
：
目的 观察腹腔镜胆囊切除术(LC)与腹腔镜妇科诊治术(LP)中二氧化碳气腹、体位对血压、心率、脉搏血氧饱和度( SpO2)的影响.方法选择ASA分级Ⅰ～Ⅱ级行LC患者(LC组,12例)及LP
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目的 观察腹腔镜胆囊切除术(LC)与腹腔镜妇科诊治术(LP)中二氧化碳气腹、体位对血压、心率、脉搏血氧饱和度( SpO2)的影响.方法选择ASA分级Ⅰ～Ⅱ级行LC患者(LC组,12例)及LP患者(LP组,13例).予丙泊酚、芬太尼、恩氟烷、阿曲库铵维持麻醉与肌松,分别记录术前、充气后即刻、调整体位后、充气后30 min、放气后的收缩压、舒张压、心率、SpO2.结果LC组患者充气后即刻、调整体位后及充气后30 min收缩压、舒张压[收缩压:(138.75±13.22)、( 140.42±15.88)、( 138.67±16.35) mm Hg(1mm Hg =0.133 kPa);舒张压:(94.42±5.76)、(96.25±8.26)、(90.42±7.36) mm Hg]均较术前[收缩压:(135.50±15.31 )mm Hg;舒张压:(83.58±6.70) mmHg]升高(P＜0.01),LP组患者调整体位后及充气后30 min收缩压、舒张压[收缩压:(136.76±12.55)、(136.85±13.22) mm Hg;舒张压:(88.38±6.54)、(87.23±6.34) mm Hg]均较术前[收缩压:(132.52±10.11) mm Hg;舒张压:(74.61±5.23)mmHg]升高(P＜ 0.05)；两组各时间点心率、SpO2比较差异均无统计学意义(P＞0.05).结论LC与LP由于麻醉、体位、二氧化碳人工气腹的影响,在气腹后收缩压、舒张压均明显高于术前,但两者比较差异无统计学意义.
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