Influence of Timely Adjustment of Carbon Dioxide (CO2) Pneumoperitoneum Pressure on Patients' Comfort and Surgical Effect During Laparoscopic Hysterectomy
Objective:To explore the effect of adjusting the pressure of carbon dioxide (CO2) pneumoperitoneum in time on patients' comfort and surgical effect during laparoscopic total hysterectomy. Methods:96 patients who underwent laparoscopic total hysterectomy in our hospital from October 2022 to January 2024 were divided into a control group (48 cases) and an observation group (48 cases). In the control group,the pressure for establishing pneumoperitoneum was set at 12mmHg until the end of the operation. In the observation group,the pressure for establishing pneumoperitoneum was set to 12mmHg,and the pressure after hysterectomy was set to 10mmHg until the end of the operation. The pH and partial pressure of carbon dioxide (PaCO2) were compared between the two groups at the beginning of pneumoperitoneum for 20 minutes (T1),after pneumoperitoneum pressure adjustment for 30min minutes (T2) and after operation (T3). The operation time,intraoperative blood loss,postoperative recovery time of intestinal function,visual analogue scale (VAS) of shoulder at 12h and 24h after operation,and postoperative complications were compared between the two groups. Results:There was no statistically significant difference in pH and PaO2 between the two groups of patients at T1 (P>0.05);The pH levels of patients in the observation group at T2 and T3 were higher than those in the control group (P<0.05);The PaCO2 levels in the observation group were lower than those in the control group at T2 and T3 (P<0.05);The surgical time and intestinal function recovery time of the observation group patients were shorter than those of the control group (P<0.05);The intraoperative bleeding in the observation group was less than that in the control group (P<0.05);The VAS scores of shoulder pain in the observation group were lower than those in the control group at 12 and 24 hours after surgery (P<0.05). Conclusion:Proper reduction of CO2 pneumoperitoneum pressure in laparoscopic total hysterectomy can improve the surgical effect,reduce the influence on blood gas analysis,relieve shoulder pain after operation and improve patients' comfort.
laparoscopic total hysterectomyCO2 pneumoperitoneum pressuresurgical effectcomfort level
万方数据
