自制Y型管在腹腔鏡手術廢氣排放中的應用

彭惠 羅紹芳 吳禮華 林周美 黃玉美

[摘要]目的 探討自制Y型管在腹腔鏡手術廢氣排放中的應用效果。方法 選取2016年9月～2017年6月我院收治的118例行腹腔鏡術患者，采用抽簽法將其隨機分成對照組和觀察組，每組各59例。對照組患者用傳統氣腹管，觀察組患者用自制Y型管，比較兩組患者手術氣腹管處理時間、氣腹管平均使用成本、平均止血時間、使用有效率和醫護人員使用滿意度。結果 觀察組患者手術氣腹管處理時間和平均止血時間均短于對照組，氣腹管平均使用成本低于對照組，差異有統計學意義（P<0.05）；觀察組使用有效率為94.92%，高于對照組（81.36%），差異有統計學意義（P<0.05）；觀察組醫護人員使用滿意率為96.61%，高于對照組（84.75%），差異有統計學意義（P<0.05）。結論 腹腔鏡手術使用自制Y型管不會對手術順利展開產生影響，具備縮短排氣時間、減少空氣污染、降低運行成本等優勢，值得推廣。

[關鍵詞]腹腔鏡；自制Y型管；手術；廢氣排放

[中圖分類號] R472.3 [文獻標識碼] A [文章編號] 1674-4721（2018）4（c）-0143-03

Application of homemade Y-tube in exhaust emissions during laparoscopic surgery

PENG Hui LUO Shao-fang WU Li-hua LIN Zhou-mei HUANG Yu-mei

Operating Room，People′s Hospital of Xingguo County，Jiangxi Province，Xingguo 342400，China

[Abstract]Objective To investigate the application effect of homemade Y-tube on exhaust emission in the laparoscopic surgery.Methods A total of 118 patients undergoing laparoscopic surgery from September 2016 to June 2017 in our hospital were selected and evenly divided into control group and observation group by drawing lots method，59 cases in each group.In the control group，traditional pneumoperitoneum tube was used，and in the observation group，homemade Y-tube was adopted.The intraoperative handling time of pneumoperitoneum tube，the average application cost，the average hemostasis time，the effectiveness rate of application and the satisfaction of medical staff were compared between the two groups.Results In the observation group，the handling time of pneumoperitoneum tube and average hemostasis time were all shorter than those in the control group，average application cost was lowser than that in the control group，with statistical differences（P<0.05）.The effectiveness rate of application in the observation group was 94.92%，higher than that in the control group accounting for 81.36%，with a statistical difference （P<0.05）.The satisfaction rate of medical staff on tube application in the observation group was 96.61%，higher than that in the control group accounting for 84.75%，which difference was statistically significant （P<0.05）.Conclusion The application of homemade Y-tube in laparoscopic surgery does not affect the smooth operation，and has the advantages of shortening the exhaust time，reducing air pollution and decreasing the operating cost，which is worthy of promotion.

[Key words]Laparoscopy；Homemade Y-tube；Surgery；Exhaust emission

近年來，隨著腹腔鏡手術在臨床疾病治療應用與推廣，廢氣排放成為手術順利展開的關鍵環節[1]，這是因為腹腔鏡作為以CO2為透視介質的操作內經，在術中必須保持空腔狀態，同時根據手術方案和患者體位靈活設立空腔，從而為手術實施創造足夠的操作空間[2-3]。在這一過程中，空腔內釋放的各種毒害物質則會對患者和醫護人員產生危害，包括煩躁、頭痛、眼睛及黏膜炎癥、注意力不集中等，影響手術治療效果[4-5]。為探討更加有效的廢氣排放方案，本研究就自制Y型管在腹腔鏡手術廢氣排放中的應用效果展開探討，現報道如下。

1資料與方法

1.1一般資料

選取2015年9月～2017年6月我院收治的行腹腔鏡術患者118例作為研究對象，采用抽簽法將其隨機分為對照組和觀察組，每組各59例。對照組男37例，女22例；……