CAJ | 학술논문

目的探讨腹腔镜和开腹胆囊炎切除术对患者术后康复和生活质量的影响.方法 41例患者应用腹腔镜手术,与41例常规手术患者进行术后胃肠功能恢复情况比较并对康复情况进行预测.结果观察组术后胃肠功能恢复时间为(1.2±0.2)d,快于对照组的(2.1±0.4)d(P＜0.05)；观察组术后胃肠功能达到1级的患者21例,多于对照组的6例(P＜0.05)；观察组术后C-反应蛋白平均值为(21.3±3.4)m/L,低于对照组的(32.7±5.3)mg/L(P＜0.05)；降至正常所用时间为(11.2±1.8)d,短于对照组的(16.1±2.4)d(P＜0.05).结论腹腔镜手术相对于开腹胆囊切除术,减少了手术创伤对患者的应激,术后能较快地恢复胃肠功能,提高了患者术后早期生活质量.
목적 탐토복강경화개복담낭염절제술대환자술후강복화생활질량적영향.방법 41례환자응용복강경수술,여41례상규수술환자진행술후위장공능회복정황비교병대강복정황진행예측.결과 관찰조술후위장공능회복시간위(1.2±0.2)d,쾌우대조조적(2.1±0.4)d(P＜0.05)；관찰조술후위장공능체도1급적환자21례,다우대조조적6례(P＜0.05)；관찰조술후C-반응단백평균치위(21.3±3.4)m/L,저우대조조적(32.7±5.3)mg/L(P＜0.05)；강지정상소용시간위(11.2±1.8)d,단우대조조적(16.1±2.4)d(P＜0.05).결론 복강경수술상대우개복담낭절제술,감소료수술창상대환자적응격,술후능교쾌지회복위장공능,제고료환자술후조기생활질량.
Objective To investigate the postoperative rehabilitation and life quality of cholecystitis laparoscopy and open resection.Methods 41 patients with laparoscopic surgery and 41 cases with general surgery,compared postoperative recovery of gastrointestinal function and to predict patients recovery from surgery.Results Observation group with postoperative recovery of gastrointestinal function was faster than control group [ ( 1.2 ± 0.2 ) d vs(2.1 ±0.4)d,P ＜0.05],postoperative gastrointestinal function with grade I was more than control group(21 vs 6)( P ＜ 0.05 ),C-reactive protein value was lower than control group after surgery [ ( 21.3 ± 3.4 ) mg/L vs ( 32.7 ± 5.3 ) mg/L,P ＜ 0.05 ],it had a short time to decreease to normal in observation group [ ( 11.2 ± 1.8 ) d vs ( 16.1 ± 2.4 ) d(P＜0.05) ].Conclusion Laparoscopic surgery compared with open cholecystectomy,it could reduce surgical trauma to the patient's stress,rapid recovery of postoperative gastrointestinal function,so it can improve the early postoperative quality of life.