摘要
目的探讨早期与延期腹腔镜胆囊切除术对老年急性胆囊炎患者手术创伤及术后肠道功能的影响。方法将60例老年急性胆囊炎患者根据数字法随机分为A组和B组,各30例。A组实施早期(发病72 h内)腹腔镜胆囊切除术治疗,B组实施延期(发病72~96 h)腹腔镜胆囊切除术治疗。比较两组的手术创伤、胃肠激素指标。结果术后1 d,两组的PGE2、NE、Cor水平均升高,但A组低于B组(P<0.05)。术后1 d,A组血清胃泌素水平高于术前及B组(P<0.05)。结论早期腹腔镜胆囊切除术治疗老年急性胆囊炎有助于减轻手术创伤,促进术后肠道功能恢复。
Objective To investigate the effects of early and delayed laparoscopic cholecystectomy on surgical trauma and postoperative intestinal function in elderly patients with acute cholecystitis.Methods Sixty elderly patients with acute cholecystitis were randomly divided into group A and group B according to the digital method,with 30 cases in each group.The group A received early laparoscopic cholecystectomy(within 72 hours of onset),and the group B received delayed laparoscopic cholecystectomy(72-96 hours of onset).The surgical trauma and gastrointestinal hormone index of the two groups were compared.Results One day after operation,the levels of PGE2,NE and Cor in the two groups increased,but those in the group A were lower than the group B(P<0.05).One day after operation,the serum gastrin level in the group A was higher than that before operation and in the group B(P<0.05).Conclusion Early laparoscopic cholecystectomy in the treatment of elderly patients with acute cholecystitis is helpful to reduce the surgical trauma and promote the recovery of intestinal function.
作者
沈中兵
SHEN Zhong-bing(Traditional Chinese Medicine Hospital of Jianhu County,Yancheng 224700,China)
出处
《临床医学研究与实践》
2020年第18期69-70,共2页
Clinical Research and Practice
关键词
腹腔镜胆囊切除术
急性胆囊炎
肠道功能
laparoscopic cholecystectomy
acute cholecystitis
intestinal function
