肺关节持续时间对腹腔镜手术患者功能的影响:一项前性观察性研究
Komal A Gandhi1, Ravjit S Jassal2, Neeru Sahni3
1Department of Anaesthesia & Intensive Care, PGIMER (Postgraduate Institute of Medical Education and Research), Chandigarh, 160012, India.
Journal of robotic surgery
|June 10, 2023
概括
在腹腔镜手术期间,肺和腹腔内压力升高不会显著影响功能. 研究结果显示,手术后对血尿素,肌素清除率或血清囊素C水平没有不良影响.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 手术麻醉学手术麻醉学
背景情况:
- 腹腔镜手术涉及肺,这增加了腹内压力.
- 不同的肺上皮膜持续时间对功能的影响需要澄清.
研究的目的:
- 为了评估肺和增加腹内压力 (IAP) 对腹腔镜手术的成年患者功能的影响.
- 为了比较功能标志物在不同持续时间的肺上皮层.
主要方法:
- 一项涉及120名成年患者的研究,分为对照组 (非腹腔镜外科手术) 和三个腹腔镜外科手术组,根据肺膜持续时间 (<1小时,1-3小时,>3小时).
- 测量基线,手术期间和手术后 (6小时) 血尿素,肌素清除率和血清囊素C水平.
- 对四组功能参数的统计比较.
主要成果:
- 增加的IAP (10-12 mmHg) 和肺关节持续时间并没有显著改变从基线到术后6小时的血清囊素C水平.
- 血清肌素和血尿素水平在术后期间也不受不同肺膜持续时间的影响.
结论:
- 肺和增加的腹腔内压力,即使是长时间的,在成年患者中不会显著损害功能.
- 通过控制性肺膜进行腹腔镜手术似乎对短期功能结果安全.
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