气腹压力设定对腹腔镜胆囊切除术患者术后肩部疼痛的影响分析

摘要

目的：探讨气腹压力的设定对腹腔镜胆囊切除术（LC）患者肩部疼痛的影响。方法应用随机数字表将我院84例LC患者分为两组，对照组（n=42，气腹压力14 mm Hg）及实验组（n=42，气腹压力10 mm Hg）；术后24 h，比较两组肩部疼痛发生率及血气分析情况。结果实验组术后肩部疼痛发生率为30.9%，低于对照组64.3%，差异具有统计学意义（P＜0.05）。实验组血氧分压（PaO2）水平显著高于对照组，差异具有统计学意义（P＜0.05）。结论在不影响LC操作的前提下，降低气腹压力可改善患者血气分析情况、减低肩部疼痛发生率。%Objective To discuss the effect of different pneumoperitoneum pressure on patients with shoulder pain after LC.Methods 84 cases LC patients were randomly divided into the control group (n=42, pneumoperitoneum pressure for 14 mm Hg) and the experimental group (n=42, pneumoperitoneum pressure for 10 mm Hg). 24 h after surgery, the incidence of postoperative shoulder pain, the result of blood gas of two groups were compared.Results The incidence of postoperative shoulder pain in the experimental group was 30.9%, which was signiifcantly lower than the control group 64.3%, the difference was statistically significant (P < 0.05). The blood oxygen partial pressure (PaO2) of the experimental group was signiifcantly higher than the control group (P<0.05).Conclusion Without affecting the operation of LC, reducing pneumoperitoneum pressure can improve blood gas and the incidence of shoulder pain.