肺保护通气对老年患者腹膜后腔镜下前列腺癌根治术围术期动脉氧合及麻醉恢复室时间的影响

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Abstract Objective To explore the influence of lung protective ventilation in elderly patients on lung compliance and oxygenation after retroperitoneal laparoscopic radical prostatectomy.Methods A total of 50 patients underwent selective laparoscopic radical prostatectomy from June 2017 to March 2018 in our hospital were selected and divided into group A and group B according to the random number table method,25 cases in each group.Lung protection ventilation was used in group A,and conventional ventilation was used in group B.Perioperative arterial oxygenation at induction(T0),30 min during operation(T1),60 min during operation(T2),90 min during operation(T3),30 min after deoxidation were compared between the two groups.The post anesthesia care unit(PACU)resident time,and the incidence of pulmonary complications and subcutaneous emphysema were recorded in the two groups.Results The PACU time of group A was shorter than that of group B,the difference was statistically significant(P＜0.05).The total incidence rate of complication of group A was lower than that of group B,the difference was statistically significant(P＜0.05).The arterial partial pressure of oxygen at T2and T3in group A was statistically higher than that in group B,with significant difference (P＜0.05).The oxygenation index at T3in group A was statistically higher than that in group B,with significant difference(P＜0.05).Conclusion Lung protection ventilation strategy in elderly patients can improve perioperative oxygenation function,reduce the PACU resident time and decrease the incidence of subcutaneous emphysema.

Key words： Pneumoperitoneum Laparoscopic radical prostatectomy Lung protective ventilation strategy Permissive hypercapnia

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