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| Study on the Effect of Lung Recruitment Under Deep Neuromusclar Block Panasonic Reopening on Pulmonary Complications After Laparoscopic Gynecological Surgery |
| Zhou Yinfeng, Cheng Zhou, Chen Yong |
| Department of Operative Anesthesia,Zhongshan People's Hospital,Zhongshan 528403,China |
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Abstract Objective To investigate the effect of deep muscle panasonic reopening on the pulmonary complications after laparoscopic gynecological surgery.Methods Patients who underwent gynecological laparoscopic surgery were randomly divided into observation group and control group（n=45）.Both groups received endotracheal intubation under general anesthesia and deep muscle relaxation induction before intubation,while the control group was given mechanical ventilation.The observation group had intermittent pulmonary reextension on this basis.The changes of hemodynamics and lung function in each period of artificial pneumoperitoneum in two groups were observed.The number and proportion of pulmonary adverse reactions within 72 hours after operation were compared between the two groups.Results There were no significant differences in pulmonary compliance and oxygenation index at pneumoperitoneum completion,oxygenation index at pneumoperitoneum 45min and hypoxemia between the two groups（P>0.05）.The lung compliance and oxygenation index at pneumoperitoneum for 45min,pneumoperitoneum for 90 min,ventilated air,pulmonary infection,atelectasis,pneumothorax,dyspnea and cough in the observation group were significantly lower than those in the control group（P<0.05）.Conclusion In patients undergoing deep muscle panasonic laparoscopic gynecological surgery,pulmonary reopening can effectively improve the lung function during artificial pneumoperitoneum and significantly reduce postoperative pulmonary complications,which is worthy of wide promotion.
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Received: 20 May 2021
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2022, Vol. 42 
