中国卫生标准管理
中國衛生標準管理
중국위생표준관리
China Health Standard Management
2015年
25期
73-74
,共2页
胃癌%腹腔镜%开腹%凝血功能
胃癌%腹腔鏡%開腹%凝血功能
위암%복강경%개복%응혈공능
Gastric cancer%Laparoscope%Open surgery%Blood coagulation function
目的：研究对比腹腔镜胃癌手术与开腹手术对患者凝血功能产生的影响。方法选择我院收治的80例胃癌患者作为研究对象，随机分为观察组与对照组，分别应用腹腔镜胃癌手术与开腹手术治疗，治疗后，观察两组患者的凝血功能。结果术后24 h，两组患者PT和术前、术后即刻相比（P<0.05）；术后24 h，两组患者的FIB值均高于术前、术后即刻（P<0.05）；术后即刻与术后24 h，两组患者D-D指标均高于术前（P<0.05），观察组较对照组高（P<0.05）。结论应用两种术式治疗胃癌患者均能够使患者血液处于高凝状态，但腹腔镜手术给胃癌患者凝血功能产生的影响更大，围术期要采取积极有效的预防措施。
目的：研究對比腹腔鏡胃癌手術與開腹手術對患者凝血功能產生的影響。方法選擇我院收治的80例胃癌患者作為研究對象，隨機分為觀察組與對照組，分彆應用腹腔鏡胃癌手術與開腹手術治療，治療後，觀察兩組患者的凝血功能。結果術後24 h，兩組患者PT和術前、術後即刻相比（P<0.05）；術後24 h，兩組患者的FIB值均高于術前、術後即刻（P<0.05）；術後即刻與術後24 h，兩組患者D-D指標均高于術前（P<0.05），觀察組較對照組高（P<0.05）。結論應用兩種術式治療胃癌患者均能夠使患者血液處于高凝狀態，但腹腔鏡手術給胃癌患者凝血功能產生的影響更大，圍術期要採取積極有效的預防措施。
목적：연구대비복강경위암수술여개복수술대환자응혈공능산생적영향。방법선택아원수치적80례위암환자작위연구대상，수궤분위관찰조여대조조，분별응용복강경위암수술여개복수술치료，치료후，관찰량조환자적응혈공능。결과술후24 h，량조환자PT화술전、술후즉각상비（P<0.05）；술후24 h，량조환자적FIB치균고우술전、술후즉각（P<0.05）；술후즉각여술후24 h，량조환자D-D지표균고우술전（P<0.05），관찰조교대조조고（P<0.05）。결론응용량충술식치료위암환자균능구사환자혈액처우고응상태，단복강경수술급위암환자응혈공능산생적영향경대，위술기요채취적겁유효적예방조시。
Objective To study the contrast of laparoscopic surgery and open surgery for patients with gastric cancer of the impact of blood coagulation function. Methods Chose 80 cases of gastric cancer patients of our hospital as the research object,were randomly divided into observation group and control group,the application of laparoscopic surgery and open surgery for gastric cancer,respectively,after treatment,observation of two groups of patients with blood coagulation function. Results 24 h after surgery,compared two groups of PT and preoperative and postoperative patients with immediate (P< 0.05),24 h after surgery,two groups of FIB values are higher than in patients with preoperative and postoperative immediate(P< 0.05), immediate and 24 h after surgery,postoperative D-D index in both groups were higher than preoperative(P< 0.05),the observation group was significantly higher than the control group(P<0.05). Conclusion The application of two kinds of surgical treatment of gastric cancer patients were able to make the patient's blood in high coagulation state,but the blood coagulation function in patients with laparoscopic surgery for gastric cancer is bigger,the influence of perioperative should take positive and effective preventive measures.
