腹腔镜胆囊切除术治疗老年结石性胆囊炎疗效及对营养状态的影响  

The effect of laparoscopic cholecystectomy in the treatment of senile calculous cholecystitis and its effect on the nutritional status

作　　者：张斌[1] 魏明[2] 胡伟[3] Zhang Bin;Wei Ming;Hu Wei(Surgical Department,Hongdu TCM Hospital of Nanchang,Nanchang,Jiangxi,330000,China;Department of Orthopaedics,Hongdu TCM Hospital of Nanchang,Nanchang,Jiangxi,330000,China;Pharmacy Department,Hongdu TCM Hospital of Nanchang,Nanchang,Jiangxi,330000,China)

机构地区：[1]江西省南昌市洪都中医院外二科,江西南昌330000 [2]江西省南昌市洪都中医院骨科,江西南昌330000 [3]江西省南昌市洪都中医院药剂科,江西南昌330000

出　　处：《当代医学》2018年第11期71-73,共3页Contemporary Medicine

摘　　要：目的探讨腹腔镜胆囊切除术治疗老年结石性胆囊炎疗效及对营养状态的影响。方法选取2014年7月~2017年2月因结石性胆囊炎于本院就诊的90例老年患者纳入研究并随机分组。对照组45例采用传统开腹胆囊切除术治疗,观察组45例采用腹腔镜胆囊切除术,比较临床疗效差异。结果观察组术后肠鸣音恢复时间、术后肛门排气排便更早,术中出血量更少(P<0.05);治疗第7天时患者超敏C反应蛋白(Hs-CRP)、白介素-6(IL-6)等炎症指标降低,观察组改善更显著(P<0.05);患者血红蛋白(HB)、白蛋白(Alb)降低,观察组数值高于对照组(P<0.05);对照组并发症总发生率35.56%(16/45),观察组8.89%(4/45),低于对照组(P<0.05)。结论腹腔镜胆囊切除术治疗老年结石性胆囊炎效果显著,具有创伤小的优势,炎症反应轻的优势,且可降低并发症发生率,值得推广。Objective To investigate the effect of laparoscopic cholecystectomy in the treatment of senile calculous cholecystitis and its effect on the nutritional status.Methods 90 elderly patients with calculous cholecystitis in our hospital from July 2014 to February 2017 were enrolled in the study and were randomly divided into groups.In the control group,45 cases were treated with traditional cholecystectomy,and 45 cases in the observation group were treated with laparoscopic cholecystectomy,and the difference of clinical effect was compared.Results In the observation group,postoperative recovery time of bowel sound,postoperative anal exhaust defecation earlier,less intraoperative bleeding(P<0.05);the seventh day of treatment in patients with high sensitivity C reactive protein(Hs-CRP)and interleukin-6(IL-6)to reduce the inflammation index,the observation group improved more significantly(P<0.05);patients with hemoglobin(HB),albumin(Alb)decreased,the observation group value was higher than the control group(P<0.05);the control group the overall complication rate of 35.56%(16/45),8.89%(4/45),the observation group than in the control group(P<0.05).Conclusion Laparoscopic cholecystectomy is effective in treating senile calculous cholecystitis.It has advantages of less trauma,less inflammatory reaction and lower incidence of complications.It is worth promoting.

关 键 词：腹腔镜胆囊切除术 老年 结石性胆囊炎 营养状态 手术并发症 

分 类 号：R657.4[医药卫生—外科学]