CAJ | 학술논문

目的：研究悬吊式免气腹腹腔镜胆囊切除术术后发生恶心、呕吐的情况。方法：随机选择包头医学院第一附属医院2009年5月至2010年5月患有胆囊炎、胆囊结石或胆囊息肉入院的患者，随机分为免气腹腹腔镜胆囊切除术组（A 组）30例、传统腹腔镜胆囊切除术组（B 组）30例。结果：术后两组恶心、呕吐发生率随时间而降低，B 组各时间段恶心、呕吐发生率均高于 A 组，在术后24 h 内两组恶心发生率差异均有统计学意义（ P ﹤0.05），在术后12 h 内两组呕吐发生率差异均有统计学意义（ P ﹤0.05）。结论：免气腹腹腔镜胆囊切除术恶心、呕吐发生率低于传统腹腔镜胆囊切除术。
목적：연구현조식면기복복강경담낭절제술술후발생악심、구토적정황。방법：수궤선택포두의학원제일부속의원2009년5월지2010년5월환유담낭염、담낭결석혹담낭식육입원적환자，수궤분위면기복복강경담낭절제술조（A 조）30례、전통복강경담낭절제술조（B 조）30례。결과：술후량조악심、구토발생솔수시간이강저，B 조각시간단악심、구토발생솔균고우 A 조，재술후24 h 내량조악심발생솔차이균유통계학의의（ P ﹤0.05），재술후12 h 내량조구토발생솔차이균유통계학의의（ P ﹤0.05）。결론：면기복복강경담낭절제술악심、구토발생솔저우전통복강경담낭절제술。
Objective:To compare and analyse the patients′ state of postoperative nausea and vomiting(PONV)after gas-less laparoscopic cholecystectomy of abdominal wall lifting(GLC)and convention laparoscopic cholecystectomy(CLC). Meth-ods:60 patients hospitalized for chronic cholecystitis,cholecystolithiasis and gall bladder polypi in the First Affiliated Hospital of Baotou Medical College from July 2009 to March 2010 were randomly divided into GLC group(group A)and CLC group(group B),with 30 patients in each group. Results:The incidence of PONV went down with time in two groups. The incidence of PONV in group B was higher than that in group A at various stages. There was significant difference( P ﹤ 0. 05)in the incidence of nausea within 24 hours after the operation,and significant difference( P ﹤ 0. 05)in the incidence of vomiting within 12 hours after the operation,between the two groups. Conclution:Compared with that in CLC,The incidence of PONV was lower in GLC.