摘要
1992年10月～1993年12月作者选择60例慢性胆囊炎并胆囊结石患者,随机分为三组:一组在全麻下行腹腔镜胆囊切除术(LC),另外两组分别在全麻或硬膜外麻醉下行常规开腹胆囊切除术(OC)。围手术期分别测定了血总 T_3、总 T_4、TSH、皮质醇、胰岛素、胰高血糖素、C-肽、血糖、血电解质、白细胞、体温、以及血气分析。结果提示 LC 手术的应激反应较 OC 手术轻,应激反应的程度主要与手术创伤大小有关,而与麻醉方式关系不大。
60 patients with chronic cholecystitis and gallblad- der stone were randomized into three groups undergoing laparoscopic cholecystectomy (LC),under general anes- thesia,open cholecysteetomy (OC) under general anesthe- sia,and OC under epidural anesthesia,respectively,from October 1992 to Pecember 1993.Plasma total T3,total T4,TSH,cotisol,insulin,glucagon,c-peptide,blood glu- cose,electrolyte,white cell count,temperature as well as blood gas were determined during perioperative period. The results were as follows:neuroendocrine and metabolism changes(surgical stress response)induced by LC were less than that by OC,the magnitude of stress response was related with the severity of surgical injury and less in relation with individual anesthesia method.
出处
《普外临床》
CSCD
1995年第5期291-293,共3页
