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腹腔镜妇科手术中腹腔内压对肺力学的影响。

Effects of Intra-Abdominal Pressure on Lung Mechanics during Laparoscopic Gynaecology.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov;2021:2091-2094. doi: 10.1109/EMBC46164.2021.9630753.

Abstract

Investigating the relations between surgical actions and physiological reactions of the patient is essential for developing pre-emptive model-based systems. In this study, the effects of insufflating abdominal cavity with CO in laparoscopic gynaecology on the respiration system were analysed. Real-time recordings of anaesthesiology and surgical data of five subjects were acquired and processed, and the correlation between lung mechanics and the intra-abdominal pressure was evaluated. Alterations of ventilation settings undertaken by the anaesthesiologist were also considered. Experimental results demonstrated the high correlation with a mean Pearson coefficient of 0.931.Clinical Relevance- This study demonstrates the effects of intra-abdominal pressure during laparoscopy on lung mechanics and enables developing predictive models to promote a greater awareness in operating rooms.

摘要

研究患者手术操作与生理反应之间的关系对于开发预防性基于模型的系统至关重要。在这项研究中,分析了腹腔镜妇科手术中向腹腔内注入 CO 对呼吸系统的影响。对 5 名受试者的麻醉学和手术数据进行了实时记录和处理,并评估了肺力学与腹内压之间的相关性。还考虑了麻醉师对通气设置的调整。实验结果表明,与平均 Pearson 系数为 0.931 具有高度相关性。临床相关性- 本研究证明了腹腔镜手术过程中腹内压对肺力学的影响,并能够开发预测模型,以提高手术室的意识。

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