临床小儿外科杂志2018，Vol.17Issue(4)：317-320,4.DOI:10.3969/j.issn.1671-6353.2018.04.017
二氧化碳气腹对小儿腹腔镜手术期间无创脑氧饱和度的影响
Effects of carbon dioxide insufflation on regional cerebral oxygenation during laparoscopic surgery in children
肖婷 1禹二友 1朱义 1王江平1
作者信息
- 1. 湖南省儿童医院麻醉手术科 湖南省长沙市,410007
- 折叠
摘要
Abstract
Objective This study was designed to evaluate the changes of cerebral oxygen saturation using near-infrared spectroscope during laparoscopic surgery in children. Methods This study comprised forty children who were scheduled for laparoscopic appendectomy.Right and left regional cerebral oxygen saturation,Hemodynamic variables,PaO2、PaCO2、PetCO2、MAP、HR、Hb、body temperature were recorded.All Parameters were recorded before insufflation and 30min after start of insufflation.Results There were progressive increases in PaCO2and PetCO2,which were statistically significant after insufflation 30 min(P<0.05).There were not statistically significant in rSO 2、HR、PaO2、MAP、Hb、body temperature after insufflation 30 min. Conclusion Although Carbon dioxide pressure increases during laparoscopic appendectomy,rSO2was not statistically changed,which may not prove pneumoperitoneum affect cerebral oxygenation under laparoscopic surgery.关键词
二氧化碳/腹腔镜/气腹/脑氧饱和度/儿童Key words
Carbon Dioxide/Laparoscopic/Pneumoperitoneum/Cerebral Oxygen Saturation/Child引用本文复制引用
肖婷,禹二友,朱义,王江平..二氧化碳气腹对小儿腹腔镜手术期间无创脑氧饱和度的影响[J].临床小儿外科杂志,2018,17(4):317-320,4.
