摘要
目的探讨腹腔镜胆囊切除术患者围术期血流动力学及凝血纤溶机制。方法选取2008年10月-2010年9月于本院进行胆囊切除术的68例患者为研究对象，将其随机分为对照组（开腹胆囊切除术组）34例和观察组（腹腔镜胆囊切除术组）34例，后将两组患者的术前及术后即刻的凝血纤溶系统水平及血流动力学水平进行检测及比较。结果经研究比较发现，术后观察组的血流动力学及凝血纤溶水平变化幅度均小于对照组，两组各项水平比较，有显著性差异或有非常显著性差异（P〈0．05或P〈O．01）。结论腹腔镜胆囊切除术患者围术期血流动力学及凝血纤溶波动较小，对患者影响也较小，值得临床推广应用。
Objective To study the hemodynamics and coagulation and fibrinolytic mechanism of laparoscopic cholecystectomy during perioperative period. Methods Sixty-eight patients treated with cholecystectomy in our hospital from October 2008 to September 2010 were selected as research object,and they were randomly divided into control group（open cholecystectomy groups） 34 cases and observation gronplaparoscopic cholecystectomy group） 34 cases, then the levels of hemodynamics and coagulation and fibrinolytic before and after the operation immediately of the two groups were detected and compared. Results The range of variation of the hemodynamics and coagulation and fibrinolytic of the observation group was smaller than that of the control group,the levels of the two groups were compared,there were significant differences or very significant differences （P〈0.05 or P〈0.01）. Conclusion The range of variation of hemodynamics and coagulation and fibrinolytic mechanism of laparoscopic cholecystectomy during perioperative period is very small,and the influence for the patients is small too, and it is worthy of application and extension.
出处
《中国现代医生》
2011年第12期15-16,共2页
China Modern Doctor
关键词
腹腔镜胆囊切除术
围术期
血流动力学
凝血纤溶系统
Laparoscopic cholecystectomy
Perioperative period
Hemodynamics
Coagulation and Fibrinolytic system
