摘要
目的探讨急性结石性胆囊炎患者应用开腹胆囊切除术和腹腔镜对CRP、胃肠功能的影响。方法在该院2012年3月—2017年3月收治的急性结石性胆囊炎患者中方便抽取120例展开研究,随机分为对照组与治疗组,每组60例,给予对照组患者传统开腹胆囊切除术,治疗组患者则行腹腔镜胆囊切除术,比较两组手术效果。结果治疗组患者术后疼痛(2.1±0.5)d、住院时间(6.1±2.0)d、切口长度(0.7±0.2)cm优于对照组(P<0.05);治疗组肠鸣音恢复(12.6±2.7)h、肛门排气(14.8±3.0)h、排便(23.4±4.1)h以及进食时间(29.8±6.9)h均短于对照组(P<0.05);治疗组CRP(34.6±7.7)mg/L低于对照组(P<0.05)。结论急性结石性胆囊炎患者应用开腹胆囊切除术和腹腔镜手术治疗,腹腔镜的效果更显著,对患者肠胃功能以及CRP的影响更小,对于降低患者术后疼痛,促进其快速康复具有积极意义。
Objective To study the effect of open cholecystectomy and laparoscope of patients with acute calculous cholecystitis on the CRP and gastrointestinal function. Methods Convenient selection 120 cases of patients with acute calculous cholecystitis admitted and treated in our hospital from March 2012 to March 2017 were selected and randomly divided into two groups with 60 cases in each, the control group and the treatment group respectively adopted the traditional open cholecystectomy and laparoscopic cholecystectomy, and the operation effect was compared. Results The postoperative pains, length of stay and cut length in the treatment group were respectively(2.1±0.5)d,(6.1±2.0)d and(0.7±0.2)cm, which were better than those in the control group(P<0.05), and the recoverg time of bowel sounds, anal exhaust time, defecation time and eating time in the treatment group were respectively(12.6±2.7)h,(14.8±3.0)h,(23.4 ±4.1)h and(29.8±6.9)h, which were shorter than those in the control group(P<0.05), and the CRP in the treatment group was(34.6±7.7)mg/L, which was lower than that in the control group(P<0.05). Conclusion The application effect of laparoscopic surgery in treatment of patients with acute calculous cholecystitis is more obvious than that of laparoscopic cholecystectomy, and the effect on the gastrointestinal function and CRP is smaller and it is of positive significance to reducing the postoperative pains and promoting the rapid recovery.
出处
《中外医疗》
2017年第19期81-82,85,共3页
China & Foreign Medical Treatment
关键词
急性结石性胆囊炎
CRP
胃肠功能
Acute calculous cholecystitis
CRP
Gastrointestinal function
