氧气与二氧化碳气腹在小儿腔镜疝囊高位结扎中应用对比.docVIP

氧气与二氧化碳气腹在小儿腔镜疝囊高位结扎中应用对比 　　[摘要]目的 比较氧气与二氧化碳气腹在腔镜小儿疝囊高位结扎中的疗效。方法 选择2010年2月～2016年7月在大余?h人民医院外科住院的200例小儿腹股沟疝患者（≤8岁），分为A、B两组，每组各100例。A组用氧气气腹，B组用二氧化碳气腹行单孔腹腔镜小儿疝囊高位结扎。比较气腹前5 min、气腹后10 min、气腹后30 min两组pH、血氧分压（PaO2）、二氧化碳分压（PaCO2）、心率（HR）、体温变化，并对比两组术后复苏时间及并发症发生率。结果 气腹后10、30 min两组pH值、PaO2、PaCO2、HR、体温水平差异均有统计学意义（P0.05）；A组术后复苏时间明显短于B组（P0.05），A组总并发症发生率远低于B组（P0.05）。结论 氧气气腹在腹腔镜小儿疝囊高位结扎中的疗效较传统的二氧化碳气腹更佳，能够稳定血气指标，还可缩短术后复苏时间、减少并发症。 　　[关键词]氧气；二氧化碳；腹腔镜小儿疝囊高位结扎术 　　[中图分类号] R656.2 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0099-04 　　Comparison of application of oxygen and carbon dioxide pneumoperitoneum in the laparoscopic high ligation of hernial sac in children 　　ZHONG Fei GUO Zhen-yu ZHONG Xiang 　　Department of General Surgery，People′s Hospital of Dayu County Dayu in Jiangxi Province，Dayu 341500，China 　　[Abstract]Objective To compare the effect of oxygen and the carbon dioxide pneumoperitoneum in the laparoscopic high ligation of hernial sac in children.Methods 200 cases of children with inguinal hernia （less than or equal to 8 years old ） from February 2010 to July 2016 in the People′s Hospital of Dayu County were randomly divided into group A and group B，with 100 cases in each.Group A was given oxygen，and the group B was given carbon dioxide pneumoperitoneum for single port high ligation of the hernial sac.The changes of pH，partial pressure of oxygen （PaO2），carbon dioxide partial pressure （PaCO2），heart rate （HR），body temperature at previous 5 min，10 min after pneumoperitoneum，and 30 min after pneumoperitoneum were compared between the two groups，as well as the postoperative recovery time and complication rates.Results The changes of pH values，PaO2，PaCO2，HR and body temperature at 10 min after pneumoperitoneum，and 30 min after pneumoperitoneum between the two groups has significant differences （P0.05）.The postoperative recovery time in the group A was significantly shorter than that in the group B （P0.05）.The complication rate in the group A was far lower than that in the group B （P0