Liu Yanchang, Tan Xuhong, Cheng Yujin, Wang Baojun, Zhang Hanyu, Zhang Lili, Liu Danyong, Qi Xiaofei
Operation Room, Shenzhen Maternity & Child Healthcare Hospital, The First School of Clinical Medicine, Southern Medical University, Shenzhen, China.
Department of Anesthesiology, Shenzhen Maternity & Child Healthcare Hospital, The First School of Clinical Medicine, Southern Medical University, Shenzhen, China.
Front Surg. 2022 Jun 7;9:896452. doi: 10.3389/fsurg.2022.896452. eCollection 2022.
The randomized controlled study investigated the impacts of immediate peri-operative Intermittent pneumatic compression (IPC) on hemodynamic indicators in patients undergoing laparoscopic gynecologic surgery. Patients scheduled for elective laparoscopic gynecologic surgery were randomized to control (IPC not used), pre-operative IPC, post-operative IPC, and peri-operative IPC (performed both before and after surgery) groups. Systolic blood pressure (SBP), mean blood pressure (MBP) cardiac output (CO), heart rate (HR) and systemic vascular resistance (SVR) were measured at different time points. The results showed that SBP changes not obviously over time in the control and peri-operative IPC group. Compared with values before surgery, the pre-operative IPC group had a lower SBP (< 0.01) at the end of PACU stay, whereas the post-operative IPC group had a higher SBP (< 0.01) after surgery. All groups exhibited little or no variation in HR, CO and SVR. Conclusion is peri-operative IPC has no major adverse effects on hemodynamic parameters.
这项随机对照研究调查了围手术期即刻间歇性充气加压（IPC）对接受腹腔镜妇科手术患者血流动力学指标的影响。计划进行择期腹腔镜妇科手术的患者被随机分为对照组（未使用IPC）、术前IPC组、术后IPC组和围手术期IPC组（手术前后均进行）。在不同时间点测量收缩压（SBP）、平均血压（MBP）、心输出量（CO）、心率（HR）和全身血管阻力（SVR）。结果显示，对照组和围手术期IPC组的SBP随时间变化不明显。与术前值相比，术前IPC组在麻醉后监护病房（PACU）停留结束时SBP较低（<0.01），而术后IPC组术后SBP较高（<0.01）。所有组的HR、CO和SVR变化很小或无变化。结论是围手术期IPC对血流动力学参数无重大不良影响。
