摘要
目的:研究对老年急性胆囊炎患者进行低气腹压辅助悬吊式腹腔镜手术的效果。方法:选择2018年7月至2020年7月期间重庆市武隆区人民医院收治的100例老年急性胆囊炎患者作为观察对象。样本选择完毕后,按照随机数表法将其分为对照组和观察组。对对照组50例患者进行传统腹腔镜手术,对观察组50例患者进行低气腹压辅助悬吊式腹腔镜手术。比较两组患者的各项临床指标。结果:手术开始后10 min,观察组患者的收缩压(SBP)、呼气末二氧化碳分压(ETCO_(2))、心率和气道压均低于对照组患者,差异有统计学意义(P<0.05)。两组患者的手术时间、术后肛门排气时间、下床活动时间、住院时间相比,差异无统计学意义(P>0.05)。观察组患者术后并发症的发生率低于对照组患者,差异有统计学意义(P<0.05)。结论:与对老年急性胆囊炎患者进行传统腹腔镜手术相比,对其进行低气腹压辅助悬吊式腹腔镜手术能维持其术中各项生理指标的平稳,降低其术后并发症的发生率。
Objective:To study the effect of laparoscopic suspension assisted by low pneumoperitoneum pressure on elderly patients with acute cholecystitis.Methods:A total of 100 elderly patients with acute cholecystitis admitted to Chongqing Wulong District People’s Hospital from July 2018 to July 2020 were selected as the observation subjects.After selecting the samples,they were divided into control group and observation group according to random number table method.50 patients in the control group were treated with traditional laparoscopic surgery,and 50 patients in the observation group were treated with low pneumoperitoneum pressure assisted suspension laparoscopic surgery.The clinical indicators of the two groups were compared.Results:10 min after operation,systolic blood pressure(SBP),partial pressure of end-expiratory carbon dioxide(ETCO_(2)),heart rate and airway pressure in observation group were lower than those in control group,the differences were statistically significant(P<0.05).There were no significant differences in operation time,postoperative anal exhaust time,ambulation time and hospital stay between the two groups(P>0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with traditional laparoscopic surgery for elderly patients with acute cholecystitis,laparoscopic suspension assisted by low pneumoperitoneum pressure can maintain the stability of various physiological indicators during operation and reduce the incidence of postoperative complications.
作者
刘进
LIU Jin(Chongqing Wulong District People’s Hospital,Chongqing 408500,China)
关键词
低气腹压辅助悬吊式腹腔镜手术
老年急性胆囊炎
并发症
Low pneumoperitoneum-assisted suspension laparoscopic surgery
Acute cholecystitis in the elderly
complications
