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胆囊结石行腹腔镜胆囊切除术对肝功能及应激反应的影响

闫长红 许艳春

长春中医药大学学报Issue(1):171-173,3.
长春中医药大学学报Issue(1):171-173,3.DOI:10.13463/j.cnki.cczyy.2016.01.060

胆囊结石行腹腔镜胆囊切除术对肝功能及应激反应的影响

Laparoscopic cholecystectomy on liver function and stress reaction

闫长红 1许艳春2

作者信息

  • 1. 首都医科大学全科医学与继续教育学院 北京延庆县医院普外科,北京 102100
  • 2. 中国人民解放军第 251 医院,河北 张家口 075000
  • 折叠

摘要

Abstract

Objective To explore the effect of laparoscopic cholecystectomy(LC)on the liver function and stress reaction. Methods A total of 50 patients with cholecystolithiasis were included in the study and served as the observa-tion group. Moreover,50 patients with cholecystolithiasis for open cholecystectomy(OC)were served as the control group. The patients in the two groups were performed with operation under general anesthesia and tracheal intubation. The fasting peripheral venous blood 1d before operation,1 d and 5 d after operation was collected. The levels of CRP, BG,Cor,TBIL,ALT,AST,and GGT were detected. Results The levels of various indicators 1 d after operation were sig-nificantly elevated when compared with before operation(P ﹤0. 05),the levels 5 d after operation were significantly low-er than those 1d after operation,basically recovering to the levels 1d before operation(P ﹤0. 05). The recovering degree in the observation group was significantly superior to that in the control group(P ﹤0. 05). The levels of various indica-tors 1 d after operation were significantly elevated when compared with before operation(P ﹤0.05),the levels 5 d after operation were significantly lower than those 1d after operation,basically recovering to the levels 1d before operation(P ﹤ 0.05). The recovering degree in the observation group was significantly superior to that in the control group(P ﹤0.05). Conclusion Under the same conditions,the damage degree of LC on the stress reaction and liver function is signifi-cantly lower than that by OC with a significant advantage;therefore,it should be widely recommended in the clinic.

关键词

胆囊结石/腹腔镜胆囊切除术/开腹胆囊切除术/肝功能/应激反应

Key words

cholecystolithiasis/LC/OC/liver function/stress reaction

分类

医药卫生

引用本文复制引用

闫长红,许艳春..胆囊结石行腹腔镜胆囊切除术对肝功能及应激反应的影响[J].长春中医药大学学报,2016,(1):171-173,3.

基金项目

北京军区医疗成果项目(2009229)。 ()

长春中医药大学学报

OACSTPCD

1007-4813

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