Abstract：Objective To analyze the effect of the heating carbon dioxide pneumoperitoneum on blood gas of patients with gynecological laparoscopic surgery and to explore measures of anesthetic intervention. Methods A total of 120 cases of gynecological patients who received laparoscopicoperation therapy in our hospital from May 2012 to May 2014 were included and were randomly divided into group A and group B with 60 cases in each group. The patients in group A were treated with the heated carbon dioxide while patients in group B were treated with pneumoperitoneum of non-heated carbon dioxide, Changes of blood gas of the patients in the two groups were compared before and after operation. Results The differences in pH, PCO2, PO2 and HCO3 were significant before the surgery. After the surgery, the PO2 value in group A was (215.60±15.20) mmHg, which was significantly lower than (312.92±23.78) mmHg in group B. The PCO2 value in group A was (15.11±0.22) mmHg, which lower than that in group B. The BE value in group A was (-10.22±1.94) mmol/L after the surgery, which was lower than that in group B. Conclusion Heating treatment is the key factor to affect the operation safety of the patients and the incidence of postoperative complications when carbon dioxide pneumoperitoneum is established. Therefore the heating treatment must be closely monitored before the operation in order to maintain body temperature and to reduce the incidence of postoperative shivering after the operation. When carbon dioxide retention occurs, timely blood gas analysis and anesthetic intervention are crucial to the safety of the patients.
都红蕾, 黄晓雷, 刘剀, 姚秀华, 伍雪梅. 加温二氧化碳气腹对妇科腹腔镜手术患者血气的影响及麻醉干预[J]. 中国生育健康杂志, 2015, 26(6): 504-507.
DU Honglei, HUANG Xiaolie, LIU Kai, YAO Xiuhua, WU Xuemei. The effect of the heating carbon dioxide pneumoperitoneum on blood gas of patients with gynecological laparoscopic surgery and anesthetic intervention. Chinese Journal of Reproductive Health, 2015, 26(6): 504-507.
