CAJ | 학술논문

目的：探讨老年胃癌腹腔镜手术患者围术期免疫和应激状态。方法选取行腹腔镜手术治疗的38例老年胃癌患者作为观察组，同时以同期38例行常规开腹手术治疗的老年患者作为对照组，然后检测两组患者术前2 d及术后3d、5d及7d红细胞和细胞免疫指标、应激指标水平并进行比较。结果术前2d两组红细胞和细胞免疫指标、应激指标水平两组均无显著性差异，P均＞0．05，而观察组术后3 d、5 d及7 d红细胞和细胞免疫指标水平均优于对照组，应激指标水平均低于对照组，P均＜0．05。结论老年胃癌腹腔镜手术患者围术期免疫和应激状态相对较好，手术对患者的不良影响相对较轻，且机体整体恢复相对更快。
목적：탐토노년위암복강경수술환자위술기면역화응격상태。방법선취행복강경수술치료적38례노년위암환자작위관찰조，동시이동기38례행상규개복수술치료적노년환자작위대조조，연후검측량조환자술전2 d급술후3d、5d급7d홍세포화세포면역지표、응격지표수평병진행비교。결과술전2d량조홍세포화세포면역지표、응격지표수평량조균무현저성차이，P균＞0．05，이관찰조술후3 d、5 d급7 d홍세포화세포면역지표수평균우우대조조，응격지표수평균저우대조조，P균＜0．05。결론노년위암복강경수술환자위술기면역화응격상태상대교호，수술대환자적불량영향상대교경，차궤체정체회복상대경쾌。
Objective To study and investigate the immune and stress state of elderly patients with gastric cancer treated with laparoscopic operation during the perioperative period .Methods 38 elderly patients with gastric cancer treated with laparo-scopic operation were the observation group ,and 38 elderly patients treated with open operation at the same time were the control group,then the erythrocyte and cellular immunity ,stress indexes of the 2 groups at 2 day before the operation and at 3,5 and 7 day after the operation were detected and compared .Results The erythrocyte and cellular immunity ,stress indexes of the 2 groups at 2 day before the operation had no significant difference ,all P>0.05,while the erythrocyte and cellular immunity indexes of the observation group at 3,5 and 7 day after the operation were all better than those of the control group ,stress indexes were all lower than those of the control group ,all P<0.05.Conclusion The comprehensive immune and stress state of elderly patients with gastric cancer treated with laparoscopic operation during the perioperative period are relatively better ,adverse reactions are rela-tively smaller,and the comprehensive recovery of body is relatively faster .