短时间窗内腹腔镜胆囊切除术对老年急性胆囊炎患者术后疼痛程度及炎症指标的影响  

Effect of Laparoscopic Cholecystectomy within a Short Time Window on Postoperative Pain Degree and Inflammatory Indicators in Elderly Patients with Acute Cholecystitis

作　　者：许腾 XU Teng(Department of Hepatobiliary Surgery,Jinxiang County People’s Hospital,Jining 272299,China)

机构地区：[1]金乡县人民医院肝胆外科,山东济宁272299

出　　处：《反射疗法与康复医学》2025年第5期101-103,107,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 分析短时间窗内腹腔镜胆囊切除术(LC)对老年急性胆囊炎(AC)患者的影响。方法 选取2021年10月—2023年10月金乡县人民医院收治的60例老年AC患者为研究对象,按随机数字表法将其分为对照组和观察组,各30例。对照组于发病72 h后行LC,观察组于发病72 h内行LC。比较两组的手术相关指标、胃肠功能恢复情况、术后疼痛程度、炎症指标、并发症发生情况。结果 观察组术中出血量少于对照组,手术、住院时间均短于对照组,组间差异有统计学意义(P<0.05)。观察组肠鸣音恢复、肛门排气、进食时间均短于对照组,疼痛视觉模拟评分低于对照组,组间差异有统计学意义(P<0.05)。术后1 d,两组C反应蛋白、降钙素原水平均低于术前,且观察组均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为6.67%,低于对照组的26.67%,差异有统计学意义(P<0.05)。结论 短时间窗内LC具有创伤小、恢复快、并发症少等优势,能够有效减轻老年AC患者的术后疼痛,控制炎症,有利于患者术后病情的改善,临床可推广运用。Objective Analysis of the impact of laparoscopic cholecystectomy(LC)within a short time window on elderly patients with acute cholecystitis(AC).Methods Selecting 60 elderly patients with AC admitted to Jinxiang County People’s Hospital from October 2021 to October 2023 as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 30 cases in each group.The control group underwent LC 72 hours after onset of the disease,while the observation group underwent LC within 72 hours of onset of the disease.Compare the surgical related indicators,gastrointestinal function recovery,postoperative pain degree,inflammatory indicators,and occurrence of complications between the two groups.Results The intraoperative blood loss in the observation group was less than that in the control group,and the surgery and hospitalization time were shorter than those in the control group,the differences between the two groups were statistically significant(P<0.05).The recovery of bowel sounds,anal emptying,and eating time in the observation group were shorter than those in the control group,and the pain Visual Analogue Scale score was lower than that in the control group,the differences between the two groups were statistically significant(P<0.05).On postoperative day 1,the levels of C-reactive protein and procalcitonin in both groups were lower than those before surgery,and the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 6.67%,which was lower than 26.67%in the control group,the difference was statistically significant(P<0.05).Conclusion LC within a short time window has the advantages of minimal trauma,fast recovery,and fewer complications.It can effectively alleviate postoperative pain and control inflammation in elderly AC patients,which is beneficial for improving their postoperative condition.It can be widely used in clinical prac

关 键 词：急性胆囊炎 腹腔镜胆囊切除术 炎症指标 并发症 C反应蛋白 降钙素原 

分 类 号：R657.4[医药卫生—外科学]