功能余气量增加与腹壁提升在腹腔镜手术

功能余气量增加与腹壁提升在腹腔镜手术
Functional residual capacity increase during laparoscopic surgery with abdominal wall lift

Abstract
Background and objectives
摘要
背景和目的
The number of laparoscopic surgeries performed is increasing every year and in most cases the pneumoperitoneum method is used. One alternative is the abdominal wall lifting method and this study was undertaken to evaluate changes of functional residual capacity during the abdominal wall lift procedure.
腹腔镜外科手术的数量逐年增长，在大多数情况下是用气腹法。一种替代方法是腹壁提升法和这项研究进行了评估在腹壁解除过程中的功能性残余容量的变化。

Methods
方法
From January to April 2013, 20 patients underwent laparoscopic cholecystectomy at a single institution. All patients were anesthetized using propofol, remifentanil and rocuronium. FRC was measured automatically by Engstrom Carestation before the abdominal wall lift and again 15 min after the start of the procedure.
一月至2013年4月，20名患者在一个单一的机构进行腹腔镜胆囊切除术。所有患者均使用丙泊酚，瑞芬太尼和罗库溴铵麻醉。FRC自动测量由Engstrom Carestation前腹壁提升又一次15分钟的程序开始后。

Results
结果
After abdominal wall lift, there was a significant increase in functional residual capacity values (before abdominal wall lift 1.48 × 103 mL, after abdominal wall lift 1.64 × 103 mL) (p < 0.0001). No complications such as desaturation were observed in any patient during this study.
腹壁解除术后，功能性残余容量值（腹壁前103升1.48 ml，腹壁升103 1.64 ml）（P＜0.0001）有显著性增加。如无此研究中所有患者均减并发症。

Conclusions
结论
Laparoscopic surgery with abdominal wall lift may be appropriate for patients who have risk factors such as obesity and respiratory disease.
有风险的因素，如肥胖和呼吸系统疾病的患者，腹腔镜手术与腹壁升升可能是适当的。

英文原文：
Functional residual capacity increase during laparoscopic surgery with abdominal.pdf (295.92 KB, 下载次数: 0, 售价: 99 香叶)

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功能余气量增加与腹壁提升在腹腔镜手术