智能气腹压力管理对机器人辅助根治性前列腺切除术后患者炎症反应与康复进程的影响
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中图分类号 R697+.3 R737.25 文献标识码 A文章编号2096-7721（2025）07-1109-06
AbstractObjective：Toexploretheeffect intellgentpneumoperitoneum pressuremanagementoninflammatoryresponseand postoperativecovryinatintsudergongbotasssteddicalprostatetomy（ARP）ndtrovidereticalasisfoliial practice.Methods：105patients whoreceivedRARPin， fromDecember2021 toFebruary2O24wereselected.Thyweredividedintoteintellgentgroup（n=53，receivingintellgenpneumoperitonempreure management）andtetraditioalgop（n52，eceivigtraditoalpumoperitoempressreaagent）.Peumopioelated metrics，vialigsmodaics，mmatyakers，stoperatieoverycatos，ndoplcatioateseed betwenthetwogroups.Results：Comparedtothetraditional group，theintellgent grouphadshortertimestopneumoperitoneum establishment and maintenance，along with superior pressure stability （ P <0.05）.5 min after anesthesia，no significant differences existed betweenthe twogoupsinstolicdiastolicbloodpresure （SB/DB）orrespratoryate（RR）（P>5）.Howeve，BandRRreloer in the intelligent group at 5min after insufflation/desufflation （P<0.05） ， while no diferences were observed in DBP between the two groups at each timepoint （P>0.05） . Central venous pressure （CVP）and cardiac output （CO） the two groups were comparable at 5 min after anesthesia （P>0.05） ，but CVP was lower in the intelligent group at5 min after insufflation/desufflation （ P <0.05）. Compared with that before surgery，WC，ndI6elsreceasedothouat48esurgeryeantlyloeinelt group than those in the traditional group （P<0.05） .The intelligent group showed earlier times to first flatus，defecation，ambulation， catheter removal，and hospital discharge than the traditional group （P<0.05） .No significant difference was observed in total complication rates （P>0.05） .Conclusion：Application inteligent pneumoperitoneum pressure management in RARP can significantly shorten pneumoperitoeurationanceressurestabilityiigaterurbatiosivialsigsndmodamics，euateiatory responses，and accelerate postoperative recovery， which is worthy clinical implementation and promotion.
Key WordsIntellientneumoperitoneumPressure Management; Robot-asistedRadical Prostatectomy; InflammatoryResponse; Rehabilitation Process
前列腺癌作为男性泌尿系统常见的恶性肿瘤之一，机器人辅助根治性前列腺切除术（Robotic-assistedRadicalProstatectomy，RARP）在其治疗中占据着重要地位[。（剩余10245字）