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体位和气腹压力对腹腔镜胆囊切除术后肩痛的影响
引用本文:龚建军,梁亚萍,牛建华. 体位和气腹压力对腹腔镜胆囊切除术后肩痛的影响[J]. 农垦医学, 2012, 34(2): 119-121
作者姓名:龚建军  梁亚萍  牛建华
作者单位:1. 石河子大学医学院,新疆石河子,832002
2. 新疆石河子市人民医院麻醉科,新疆石河子,832000
3. 石河子大学医学院第一附属医院外三科,新疆石河子,832008
摘    要:目的:研究不同气腹压力和上肢体位对腹腔镜胆囊切除术后肩痛的影响。方法:将160例行LC术的患者随机分为4组,每组40例,术中采取头高足低左倾位,A组为上肢外展≥90度、气腹压力13mmHg;B组为上肢外展≥90度、气腹压力7mmHg;C组为上肢外展≤60度、气腹压力13mmHg;D组为上肢外展≤60度、气腹压力7mmHg。比较4组患者术后肩痛的发生率。结果:上肢体位和气腹压力对术后肩痛发生率有统计学意义(P<0.05),低气腹压力及上肢外展程度小的患者术后肩痛发生率低。结论:上肢体位和气腹压力均是LC术后肩痛的影响因素,选择低气腹压并减少上肢外展程度可以有效减少肩痛的发生。

关 键 词:腹腔镜  肩痛  气腹  手术体位

Influence of Surgical Position and Pneumoperitoneum Pressure on Post-operative Shoulder Pain Following Laparoscopic Cholecystectomy
GONG Jian-jun , LIANG Ya-ping , NIU Jian-hua. Influence of Surgical Position and Pneumoperitoneum Pressure on Post-operative Shoulder Pain Following Laparoscopic Cholecystectomy[J]. Agricultural Reclamation Medicine, 2012, 34(2): 119-121
Authors:GONG Jian-jun    LIANG Ya-ping    NIU Jian-hua
Affiliation:1.Shihezhi University School of Medicine,Xinjiang Shihezhi,832002;2.The People’s hospital of Xinjiang shihezi anesthesiology,Xinjiang Shihezhi,832000;3.The First Affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezhi,832008)
Abstract:Objective: To study different pneumoperitoneum pressure and arm position on shoulder pain after laparoscopic cholecystectomy influence.Methods:160 cases of LC patients were randomly divided into four groups,each group 40 cases,intraoperative take the head students low leftward,A group for upper limb abduction≥90 degrees,pneumoperitoneum pressure is 13mmHg;B group for upper limb abduction≥ 90 degrees,pneumoperitoneum pressure is 7 mmHg;C group for upper limb abduction ≤60 degree,pneumoperitoneum pressure is 13mmHg;D group for upper limb abduction ≤ 60 degrees,pneumoperitoneum pressure is 7 mmHg.Comparing the four groups of patients with the incidence of postoperative shoulder pain.Results:Upper limb position and pneumoperitoneum pressure on postoperative shoulder pain incidence was statistically significant(P<0.05),low pneumoperitoneal pressure and upper limb abduction degree of postoperative patients with shoulder pain occurs at a low rate.Conclusion:upper limb position and pneumoperitoneum pressure is LC on postoperative shoulder pain factors,selection of low-pressure pneumoperitoneum and reduction in upper limb abduction degree can effectively reduce the occurrence of shoulder pain.
Keywords:Laparoscopic  Shoulder pain  Pneumoperitoneum  Surgical position
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