摘要
目的观察腹腔镜胆囊切除术患者围术期创伤应激与胃肠动力相关指标的变化情况。方法将2015年10月～2016年3月期间本院进行胆囊切除术治疗的90例患者根据手术方式的不同分为两组，每组各45例，对照组为开腹胆囊切除术治疗者，观察组为腹腔镜胆囊切除术治疗者。检测与比较两组术前1d和术后1、3、7d的创伤应激与胃肠动力相关指标。结果术前1d两组的血清创伤应激与胃肠动力相关指标均无明显差异（P〉0．05），而术后1、3、7d两组均存在显著性差异（P〈0．05），且观察组术后的表达水平均明显好于对照组（P〈0．05）。结论腹腔镜胆囊切除术患者围术期创伤应激与胃肠动力相关指标的波动明显小于开腹胆囊切除术治疗者，因此认为其对患者造成的手术创伤及对胃肠状态的不良影响相对更小，故临床应用价值较高。
Objective To observe the change situation of traumatic stress and gastrointestinal motility related indexes of patients with laparoscopic choleeystectomy during the perioperative period.Methods 90 patients with cholecystectomy in our hospital from October 2015 to March 2016 were divided into two groups according to the difference of operation types with 45 cases in each group, the control group were treated with open cholecystectomy, the observation group were treated with laparoscopic cholecysteetomy, then the traumatic stress and gastrointestinal motility related indexes of two groups at first day before the operation and at first, third and seventh day after the operation were detected and compared. Results The serum traumatic stress and gastrointestinal motility related indexes of two groups at first day before the treatment had no obvious differences（P 〉 0.05）, while the results of two groups at first, third and seventh day after the operation all had significant differences（P ~ 0.05）, then the expression levels of observation group after the operation were all obviously better than those of control group（P 〈 0.05）. Conclusion The fluctuation of traumatic stress and gastrointestinal motility related indexes of patients with laparoscopic cholecystectomy during the perioperative period are smaller than those of open cholecystectomy, so the bad influence of the operation for the operative trauma and gastrointestinal state is relatively smaller, its clinical application value is higher.
出处
《中国医药科学》
2016年第18期7-10,共4页
China Medicine And Pharmacy
关键词
腹腔镜胆囊切除术
围术期
创伤应激相关指标
胃肠动力相关指标
Laparoscopic cholecystectomy
Perioperative period
Traumatic stress related indexes
Gastrointestinal motility related indexes
