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Correlation Between Simulated The End Gas Of Electrical Surgery Unit-Acrylonitrile And The CO2 Pneumoperitoneum And Laparoscopic Postoperative Vomiting

Posted on:2010-08-12Degree:MasterType:Thesis
Country:ChinaCandidate:Z F YangFull Text:PDF
GTID:2144360275950759Subject:Surgery
Abstract/Summary:PDF Full Text Request
Post-operative nausea and vomiting(PONV) during perioperative period are the most noteworthy problem is one of our clinicians have to face a small problem,the field of minimally invasive surgery is a surgical technical revolution,especially with the laparoscopic trauma and pain of small,less blood loss,quick restore features,such as minimally invasive, but the resulting high incidence of PONV increasingly prominent,PONV the reasons for the high incidence of clinical research in recent years are one of the topics.Objective:Through enzyme-linked immunosorbent assay(quantitative) to detect the application of electric knife Analog AN Analog exhaust and after laparoscopic surgery of laboratory animals - cats healthy home with blood and cerebrospinal fluid 5-serotonin,dopamine levels to explore the application of acrylonitrile Analog electric knife exhaust gas and CO2 pneumoperitoneum on laparoscopic simulation of the impact of postoperative vomiting animals.Methods:Choose an ordinary house cat health observed no complications after the disease were randomly divided into four groups,each using ketamine add sodium phenobarbital(Luminal ) anesthesia,the control group A group of only general anesthesia alone,B group-wide Ma after the intraperitoneal injection of CO2 gas CO2 pneumoperitoneum Analog,C group Analog CO2 anesthesia after pneumoperitoneum analog intraperitoneal injection of acrylonitrile status after laparoscopic surgery, D group after anesthesia intraperitoneal injection of acrylonitrile,and then observation of experimental animals vomiting and were used to detect the occurrence of experimental animals within the blood and cerebrospinal fluid 5-serotonin,dopamine levels were statistically analyzed to compare blood and cerebrospinal fluid in each group of 5-serotonin, dopamine content differences.Results:1,After vomiting cases:laboratory animals in each group(Healthy family cat) to breathe after the experiment were stable,vital signs stable, Five of A group there is vomiting,B group has eight vomiting,C group 13 have vomiting,D group 11 vomiting,no case of death,the rate of vomiting in each group were 33.3%,53.3%,86.7%,73.3%.A,B and vomiting were compared to the situation there is different(P <0.05);A,C groups and the B,C vomiting all groups compared to the situation,the differences were significant(P <0.01);A,D the two groups and the B,D of the two groups of vomiting compared to the situation there is different (P <0.05);C,D are no differences between the two groups(P > 0.05).2,Through statistical analysis of blood and cerebrospinal fluid 5-serotonin and dopamine content of the results:A group and B group compared to have differences(P <0.05);A and C compared to group difference was significant(P <0.01);A group compared with the D group difference was significant(P <0.01);B group and C group compared to the difference was significant(P <0.05);B group compared with the D group there were significant differences(P <0.05 );C group and D group compared with no obvious difference(P > 0.05).Conclusion:According to the results of the experiment concluded:Analog animals vomiting after laparoscopic cases and application of electric knife Analog acrylonitrile exhaust and CO2 pneumoperitoneum caused by the blood and cerebrospinal fluid 5-serotonin,dopamine content must have the relevant nature,it can be speculated laparoscopic surgery nausea, vomiting and tail gas and electric knife CO2 pneumoperitoneum has relevance in guiding clinical treatment must have meaning.
Keywords/Search Tags:Laparoscopic surgery simulation status, Postoperative vomiting, CO2 pneumoperitoneum, 5-hydroxytryptamine, Dopamine, Application of electric knife Analog exhaust acrylonitrile, Acrylonitrile
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