临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
Journal of Clinical and Experimental Medicine
2015年
19期
1600-1603
,共4页
盆腔手术术后粘连%透明质酸%血液炎症因子%血液流变学指标
盆腔手術術後粘連%透明質痠%血液炎癥因子%血液流變學指標
분강수술술후점련%투명질산%혈액염증인자%혈액류변학지표
Pelvic surgery adhesions%Hyaluronic acid%Serum inflammatory factor%Hemorheology indexes
目的:探讨透明质酸(HA)治疗对腹腔镜下盆腔手术术后粘连(PA)的预防作用以及其对血液流变学指标(HI)的影响。方法选择2012年5月至2014年5月在接受手术治疗的妇产科盆腔疾病患者200例,随机将患者分为观察组和对照组两组,各100例。其中,对照组患者进行常规的腹腔镜下盆腔手术治疗;而观察组进行手术治疗的同时应用 HA 以预防 PA 的发生。对比两组手术前后粘连率、重度粘连率、血清炎症因子[包括白介素10(IL -10)、IL -6、C 反应蛋白(CRP)、肿瘤坏死因子(TNF -α)]浓度以及 HI 参数。结果观察组在手术后,其粘连率、重度粘以及 HI 参数显著降低,血液炎症因子浓度显著升高,差异具有统计学意义( P ﹤0.05);观察组术后粘连率、重度粘连率、术后血清炎症因子浓度以及 HI 参数均显著低于对照组,差异具有统计学意义( P ﹤0.05)。结论 HA 治疗能显著改善各种血液环境,对患者腹腔镜下盆腔手术后发生 PA 具有明显的预防作用,进而对盆腔手术患者的治疗具有重要价值。
目的:探討透明質痠(HA)治療對腹腔鏡下盆腔手術術後粘連(PA)的預防作用以及其對血液流變學指標(HI)的影響。方法選擇2012年5月至2014年5月在接受手術治療的婦產科盆腔疾病患者200例,隨機將患者分為觀察組和對照組兩組,各100例。其中,對照組患者進行常規的腹腔鏡下盆腔手術治療;而觀察組進行手術治療的同時應用 HA 以預防 PA 的髮生。對比兩組手術前後粘連率、重度粘連率、血清炎癥因子[包括白介素10(IL -10)、IL -6、C 反應蛋白(CRP)、腫瘤壞死因子(TNF -α)]濃度以及 HI 參數。結果觀察組在手術後,其粘連率、重度粘以及 HI 參數顯著降低,血液炎癥因子濃度顯著升高,差異具有統計學意義( P ﹤0.05);觀察組術後粘連率、重度粘連率、術後血清炎癥因子濃度以及 HI 參數均顯著低于對照組,差異具有統計學意義( P ﹤0.05)。結論 HA 治療能顯著改善各種血液環境,對患者腹腔鏡下盆腔手術後髮生 PA 具有明顯的預防作用,進而對盆腔手術患者的治療具有重要價值。
목적:탐토투명질산(HA)치료대복강경하분강수술술후점련(PA)적예방작용이급기대혈액류변학지표(HI)적영향。방법선택2012년5월지2014년5월재접수수술치료적부산과분강질병환자200례,수궤장환자분위관찰조화대조조량조,각100례。기중,대조조환자진행상규적복강경하분강수술치료;이관찰조진행수술치료적동시응용 HA 이예방 PA 적발생。대비량조수술전후점련솔、중도점련솔、혈청염증인자[포괄백개소10(IL -10)、IL -6、C 반응단백(CRP)、종류배사인자(TNF -α)]농도이급 HI 삼수。결과관찰조재수술후,기점련솔、중도점이급 HI 삼수현저강저,혈액염증인자농도현저승고,차이구유통계학의의( P ﹤0.05);관찰조술후점련솔、중도점련솔、술후혈청염증인자농도이급 HI 삼수균현저저우대조조,차이구유통계학의의( P ﹤0.05)。결론 HA 치료능현저개선각충혈액배경,대환자복강경하분강수술후발생 PA 구유명현적예방작용,진이대분강수술환자적치료구유중요개치。
Objective To observe the influence on hemodynamic indexes and the clinical effect of hyaluronan in the prevention of adhe-sions after abdominal - pelvic surgery. Methods 200 patients with pelvic disease accepting the surgical treatment between May 2012 to May 2014 were selected. All patients were randomly divided into observation group and control group,each of 100 cases. Control group was given abdominal- pelvic surgery treatment;while the observation group was given preventive treatment with HA based on the control group. The rates of adhe-sions,severe adhesions,serum inflammatory factor(IL - 10,IL - 6,CRP,TNF - α)and hemorheology indexes between the two groups before and after the treatment were recorded and analyzed. Results The rates of adhesions,severe adhesions,serum inflammatory factor and hemorheol-ogy indexes after the treatment were significantly lower than before the treatment,the difference was statistically significant( P ﹤ 0. 05). The rates of adhesions,severe adhesions,serum inflammatory factor and hemorheology indexes in the observation group were significantly lower than in the control group,the difference was statistically significant( P ﹤ 0. 05). Conclusion HA treatment can significantly improve blood environment. PA has an obvious prevention function in patients after laparoscopic pelvic surgery,and it also has an important value for the treatment of patients with pelvic surgery.