在接受腹腔镜腹腔外科手术的患者中,在CO2 insufflation期间影响腹部合规性的因素
Ezgi Yıldırım1,2, K Sanem Cakar Turhan1, Aysegul Güven1
1Department of Anesthesiology and ICM, Faculty of Medicine, Ankara University, Ankara 06100, Türkiye.
Reports (MDPI)
|July 29, 2025
概括
患者的特征,如年龄,性别和手术史显著影响腹部遵守 (AC) 在腹腔镜手术. 了解这些因素可以帮助个性化腹内压力设置,以获得更好的患者结果.
科学领域:
- 腹部外科手术 腹部外科手术
- 腹腔镜手术的方法 腹腔镜手术
- 生理学 生理学 生理学
背景情况:
- 在手术期间评估腹部延展能力时,腹部顺应 (AC) 是至关重要的.
- 了解影响AC的因素可以优化外科手术程序和患者的结果.
- 腹腔镜手术需要仔细管理腹腔内压力 (IAP).
研究的目的:
- 调查人口和解剖学因素对腹部合规性 (AC) 的影响.
- 为了确定经过腹腔镜腹部手术的患者中改变AC的预测因素.
主要方法:
- 包括90名接受腹腔镜腹部手术的患者.
- 腹部合规 (AC) 被计算为腹部压力-体积 (P-V) 曲线 (ΔV/ΔP) 的斜率.
- 超声波测量了皮下脂肪组织和腹肌厚度;收集了人口统计数据.
主要成果:
- 在男性,老年人和有怀孕史的女性中,AC较高.
- 在有腹部手术史的患者中,AC较低.
- 在AC和BMI,腹肌或皮下脂肪组织厚度之间没有发现显著的相关性.
结论:
- 性别,年龄,怀孕史和之前的腹部手术是AC的重要决定因素.
- 致病性肥胖和发育良好的腹肌并不一定表明AC低.
- 对影响AC因素的个性化术前评估可以指导腹腔镜外科手术期间个性化IAP管理,以改善外科期间的结果.
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