CAJ | 학술논문

目的：：探讨体质因素与腹腔镜胆囊切除术后疼痛的相关性。方法：总结分析622例腹腔镜胆囊切除术患者体质分布情况以及这些患者的VAS评分，研究不同体质因素与VAS之间的相关性。结果：胆囊结石患者中构成比占前三位的中医体质分别为痰湿质（35.85%）、气虚质（23.79%）和湿热质（19.61%）。3组数据两两比较，术后疼痛VAS（12 h和24 h）评分结果提示气虚质明显高于痰湿质和湿热质（P＜0.05），而痰湿质和湿热质两组之间未见明显差别（P＞0.05）。结论：气虚质的胆囊结石患者于围手术期应更注重止痛和心理治疗。
목적：：탐토체질인소여복강경담낭절제술후동통적상관성。방법：총결분석622례복강경담낭절제술환자체질분포정황이급저사환자적VAS평분，연구불동체질인소여VAS지간적상관성。결과：담낭결석환자중구성비점전삼위적중의체질분별위담습질（35.85%）、기허질（23.79%）화습열질（19.61%）。3조수거량량비교，술후동통VAS（12 h화24 h）평분결과제시기허질명현고우담습질화습열질（P＜0.05），이담습질화습열질량조지간미견명현차별（P＞0.05）。결론：기허질적담낭결석환자우위수술기응경주중지통화심리치료。
Objective To evaluate the relativity between the constitution of factors and the pain after lapa?roscopic cholecystectomy. Methods The distribu?tion of different physical factors and visual analogue scales of 622 patients following laparoscopic cholecys?tectomy with LC were summarized and analyzed. Results The top three physical factors were <br> phlegm damp constitution(35.85%),Qi deficiency constitution(23.79%), and damp heat constitution(19.61%). Paired-comparisons showed that VAS (post-operation 12 h and 24 h) in Qi deficiency constitution were signifi?cantly higher than those in the other two constitution factors (P<0.05), while there was no significant difference of VAS between phlegm damp constitution and damp heat constitution(P>0.05). Conclusion For the Qi de?ficiency constitution patients with gallbladder stones more attentions should be paid to perioperative period pain and psychological therapy.