随着Trendelenburg姿势而改变大脑氧气和,并在拉帕罗科皮直肠手术中增加腹内压力
Selman Alkan1, Murat Çakır1, Mustafa Şentürk1
1Department of General Surgery, Necmettin Erbakan University Faculty of Medicine, Konya, Türkiye.
Turkish journal of surgery
|June 5, 2023
概括
使用肺膜和Trendelenburg位置进行 laparoscopic直肠手术不会影响大脑的氧和. 事实上,在这些手术过程中,大脑的氧气和度会增加,确保大脑有足够的氧气供应.
科学领域:
- 麻醉学 麻醉学
- 手术创新 在外科创新.
- 神经生理学 神经生理学
背景情况:
- 腹腔镜手术涉及位置变化和腹内压力的增加,可能会影响生理参数.
- 在腹腔镜结直肠手术期间的大脑氧气和,特别是在Trendelenburg位置,没有得到充分的证据.
- 了解大脑的氧化对于这些手术期间的患者安全至关重要.
研究的目的:
- 为了研究腹腔镜直肠手术期间大脑氧和度的变化.
- 评估肺和Trendelenburg位置对大脑组织氧化的影响.
主要方法:
- 在接受腹腔镜直肠手术的35名患者中,监测了大脑氧气和.
- 测量是在全身麻醉下进行的,在肺上皮膜,以及在Trendelenburg位置.
主要成果:
- 静脉血压,平均动脉血压和脑氧和度在统计学上受到手术位置的影响.
- 趋势伦堡的位置并没有损害,而是增加了大脑的氧气和.
- 肺皮也导致大脑氧和度的增加.
结论:
- 腹腔镜直肠手术,包括Trendelenburg位置和肺上皮,不会对大脑的氧气和产生负面影响.
- 这些手术条件似乎增强了大脑的氧化,这与潜在的担忧相反.
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