中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
30期
26-28
,共3页
老年胆囊切除术%应激反应%血糖
老年膽囊切除術%應激反應%血糖
노년담낭절제술%응격반응%혈당
Elderly patients with gallbladder surgery%Stress reaction%Glucose
目的：探讨不同手术方式对老年胆囊切除手术患者应激反应和血糖水平的影响。方法选取本院2011年12月~2013年12月行老年胆囊切除患者92例,采用数字随机法分为两组,对照组46例行开腹胆囊切除术,观察组46例行腹腔镜胆囊切除术,比较两组患者的应激反应情况(去甲肾上腺素、肾上腺素、皮质醇)、血糖情况、术后并发症情况、治疗效果。结果两组患者去甲肾上腺素、肾上腺素、皮质醇、血糖在T2时均显著升高,T4时达到最高。观察组患者去甲肾上腺素、肾上腺素、皮质醇、血糖在T2、T3、T4时均明显低于对照组,观察组患者术后并发症发生率明显低于对照组,观察组患者肠蠕动恢复时间、术后住院时间均明显短于对照组(P<0.05)。结论与开腹胆囊切除术比较,腹腔镜胆囊切除术可明显减轻患者的应激反应,有助于稳定血糖。
目的：探討不同手術方式對老年膽囊切除手術患者應激反應和血糖水平的影響。方法選取本院2011年12月~2013年12月行老年膽囊切除患者92例,採用數字隨機法分為兩組,對照組46例行開腹膽囊切除術,觀察組46例行腹腔鏡膽囊切除術,比較兩組患者的應激反應情況(去甲腎上腺素、腎上腺素、皮質醇)、血糖情況、術後併髮癥情況、治療效果。結果兩組患者去甲腎上腺素、腎上腺素、皮質醇、血糖在T2時均顯著升高,T4時達到最高。觀察組患者去甲腎上腺素、腎上腺素、皮質醇、血糖在T2、T3、T4時均明顯低于對照組,觀察組患者術後併髮癥髮生率明顯低于對照組,觀察組患者腸蠕動恢複時間、術後住院時間均明顯短于對照組(P<0.05)。結論與開腹膽囊切除術比較,腹腔鏡膽囊切除術可明顯減輕患者的應激反應,有助于穩定血糖。
목적：탐토불동수술방식대노년담낭절제수술환자응격반응화혈당수평적영향。방법선취본원2011년12월~2013년12월행노년담낭절제환자92례,채용수자수궤법분위량조,대조조46례행개복담낭절제술,관찰조46례행복강경담낭절제술,비교량조환자적응격반응정황(거갑신상선소、신상선소、피질순)、혈당정황、술후병발증정황、치료효과。결과량조환자거갑신상선소、신상선소、피질순、혈당재T2시균현저승고,T4시체도최고。관찰조환자거갑신상선소、신상선소、피질순、혈당재T2、T3、T4시균명현저우대조조,관찰조환자술후병발증발생솔명현저우대조조,관찰조환자장연동회복시간、술후주원시간균명현단우대조조(P<0.05)。결론여개복담낭절제술비교,복강경담낭절제술가명현감경환자적응격반응,유조우은정혈당。
Objective To explore the effect of different operation ways on stress reaction and glucose level of elderly patients with gallbladder surgery. Methods 92 elderly patients with gallbladder surgery from December 2011 to De-cember 2013 of our hospital were selected.Patients were divided into two groups according to random number table.46 patients in control group were given open cholecystectomy,46 patients in observation group were given laparoscopic cholecystectomy,stress reaction conditions liked noradrenaline,epinephrine and cortisol,condition of glucose,condition of complications after operation and therapy effect between two groups were compared. Results The noradrenaline,epinephrine, cortisol and glucose between two groups significantly increased at T2,and reached the highest at T4.The noradrenaline, epinephrine,cortisol and glucose in observation group were significantly lower than control group at T2,T3 and T4.The in-cidence of complications in observation group were significantly lower than control group,the time of the recovery of in-testinal peristalsis and post operation hospitalization duration in observation group were significantly lower than control group(P<0.05). Conclusion Compared with open cholecystectomy,laparoscopic cholecystectomy can significantly allevi-ate stress reaction of patients and contribute to stabilize blood sugar.
