河北医学2017，Vol.23Issue(11)：1784-1787,4.DOI:10.3969/j.issn.1006-6233.2017.11.007
不同麻醉方式对腹腔镜胆囊切除术患者CRP及补体C3 C4的影响分析
Effects of Different Anesthesia Methods on CRP and Complement C3 and C4 in Patients Undergoing Laparoscopic Cholecystectomy
摘要
Abstract
Objective: To observe the effects of different anesthesia methods on CRP and complement C3 and C4 in patients undergoing laparoscopic cholecystectomy. Methods: Patients with laparoscopic chole-cystectomy treated in our hospital from March 2014 to June 2015 were observed. According to the methods of operation, All the cases were divided into general anesthesia group ( 45 cases) and general anesthesia com-bined with epidural anesthesia group ( 50 cases ) . Observed the level of CRP , stress indicators of the two groups, as well as the effects of complement C3, C4, compared the anesthesia effect of the two groups of pa-tients. Results:The level of CRP and cortisol of the two groups before anesthesia had no significant differ-ence, while general anesthesia group of these indicators in skin incision after 2h, 4h after the operation chan-ges compared with the compound anesthesia group obviously, the difference was statistically significant ( P <0.05);There was no significant difference in the level of C3 and C4 between the two groups before and after anesthesia. The changes of 2h and 4h in the general anesthesia group were significantly higher than those in the combined anesthesia group, the difference was statistically significant ( P<0.05);After surgery, the VAS score of the combined anesthesia group was lower than that of the general anesthesia group, and the Ramsay scores of the two groups were not significantly different. Conclusion: General anesthesia combined with epi-dural anesthesia can significantly reduce the stress reaction of patients, and has a good effect of anesthesia.关键词
麻醉/腹腔镜/应激反应/CRP/补体Key words
Anesthesia/Laparoscopy/Stress response/CRP/Complement引用本文复制引用
任元华,赵永军,吴超贤..不同麻醉方式对腹腔镜胆囊切除术患者CRP及补体C3 C4的影响分析[J].河北医学,2017,23(11):1784-1787,4.基金项目
四川省卫生厅课题,(编号:100101) （编号:100101）
