Influence on circulation witlo pressure controcled ventilation during the operation of the repair of hiatal hernia with laproscopil surgery in general anesthesia

doi:10.3877/cma.j.issn.1674-6899.2016.04.007

Abstract

Abstract:

Objective

To investigate the influence on circulation steady of the patient with pressure controlled ventilation during the repair of hiatal hernia with laparoscopic surgery in general anesthesia.

Methods

The totle of 45 cases are diveded into two groups(PCV pressure controlled ventilation and VCV volume controlled ventilation)with laparoscopic surgery in general anesthesia, 22 cases for VCV and 23 cases for PCV, which is analyzed prospectively at people, hospital Xin Jiang province from 2013 to 2015.The comparison of mean arterial pressure MAP, central venious pressure CVP, heart rate and oxyhemoglobin saturationgen is between two groups.

Results

The MAP、HR、CVP of patients in VCV group is higher than that of PCV group(t=2.57、3.51、3.77, P=0.018、0.001、0.002), and the difference has statistically significent.The SpO₂ in this two groups has no difference(t=0.68, P=0.505).

Conclusion

PCV is a better ventilation due to steady circulation for patients in the repair of hiatal hernia with laparoscopic surgery.

Key words: hernia, hiatal, ventilation mode, laparoscopic

Xuebin Li, Jie Tan, Guiping Xu. Influence on circulation witlo pressure controcled ventilation during the operation of the repair of hiatal hernia with laproscopil surgery in general anesthesia[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2016, 03(04): 167-169.

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References 7

1	Mitiek MO, Andrade RS.Giant Hiatal Hernia [J]．Ann Thorac Surg，2010，89(6):S2168-2173.
2	Alysson R, Peter M, Paolo Pelosi，et al.压力支持通气和双相气道正压通气通过肺血流重新分布从而提高氧合[J]．麻醉与镇痛，2012(1):67-77.
3	Whiston RJ, Eggers KA, Morris RW，et al.Tension pneumothorax during laparoscopic cholecystec-tomy [J]．Br J Surg，1991，78(11):1325.
4	Lee CM.Acute hypotension during laparoscopy：a case report [J]．Anesth Analg，1975，54(1):142-143.
5	Ponsky JL.Complications of laparoscopic cholecystectomy [J]．Am J Surg，1991，161(3):393-395.
6	Saadjian A, Philip-Joёt F, Hot B，et al.Effects of nicardipine on pulmonary and systemic vascular reactivity to oxygen in patients with pulmonary hypertension secondary to chronic obstructive lung disease[J]．J Cardiovasc Pharmacol，1991，17(5):731-737.
7	Gaszynski T, Szewczyk T．The influence of laparoscopic VS.open gastric bypass on hemodynamic function in morbidly obese patients during general anesthesia[J]．Wideochir Inne Tech Maloinwazyjne，2014，9(1):83-88.

组别		PCV组	VCV组	统计值	P
性别[例(%)]		?	?	χ²＝0.01	>0.05
?	男	17(73.91)	16(72.73)	?	?
?	女	6(26.09)	6(27.27)	?	?
年龄(岁)		43.46±14.13	44.28±14.52	t＝2.012	>0.05
民族[例(%)]		?	?	χ²＝0.57	>0.05
?	汉族	11(47.83)	13(59.09)	?	?
?	少数民族	12(52.17)	9(40.91)	?	?
食管裂孔疝类型[例(%)]		?	?	χ²＝ 0.23	>0.05
?	Ⅰ型	15(65.2)	13(59.1)	?	?
?	Ⅱ型	4(17.4)	5(22.7)	?	?
?	Ⅲ型	4(17.4)	4(18.2)	?	?
合并症(例)		?	?	χ²＝0.75	>0.05
?	高血压	5	6	?	?
?	糖尿病	3	5	?	?
?	慢支	0	0	?	?
?	贫血	2	1	?	?
?	冠心病	0	0	?	?

组别		PCV组	VCV组	统计值	P
性别[例(%)]		?	?	χ²＝0.01	>0.05
?	男	17(73.91)	16(72.73)	?	?
?	女	6(26.09)	6(27.27)	?	?
年龄(岁)		43.46±14.13	44.28±14.52	t＝2.012	>0.05
民族[例(%)]		?	?	χ²＝0.57	>0.05
?	汉族	11(47.83)	13(59.09)	?	?
?	少数民族	12(52.17)	9(40.91)	?	?
食管裂孔疝类型[例(%)]		?	?	χ²＝ 0.23	>0.05
?	Ⅰ型	15(65.2)	13(59.1)	?	?
?	Ⅱ型	4(17.4)	5(22.7)	?	?
?	Ⅲ型	4(17.4)	4(18.2)	?	?
合并症(例)		?	?	χ²＝0.75	>0.05
?	高血压	5	6	?	?
?	糖尿病	3	5	?	?
?	慢支	0	0	?	?
?	贫血	2	1	?	?
?	冠心病	0	0	?	?

组别	例数(例)	平均动脉压(mmHg)	中心静脉压(mmHg)	心率(次/分)	血氧饱和度(%)
PCV组	23	109.86±11.13	9.40±1.37	74.67±9.07	97.71±1.08
VCV组	22	117.20±17.17	12.10±1.20	90.52±13.37	97.86±0.97
t值	?	2.57	3.51	3.77	0.68
P值	?	0.018	0.001	0.002	0.505

组别	例数(例)	平均动脉压(mmHg)	中心静脉压(mmHg)	心率(次/分)	血氧饱和度(%)
PCV组	23	109.86±11.13	9.40±1.37	74.67±9.07	97.71±1.08
VCV组	22	117.20±17.17	12.10±1.20	90.52±13.37	97.86±0.97
t值	?	2.57	3.51	3.77	0.68
P值	?	0.018	0.001	0.002	0.505

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