腹腔镜下子宫切除术对老年高血压患者炎症因子的影响分析.docVIP

腹腔镜下子宫切除术对老年高血压患者炎症因子的影响分析 　　摘 要 目的：探讨腹腔镜下子宫切除术对老年高血压患者炎症因子的影响。方法：选取2012年3月―2015年7月我院收治并行子宫切除术的老年高血压患者120例，按不同手术方式分为A组（腹腔镜下手术）和B组（开腹手术）各60例。观察比较两组患者手术时间、术中出血量、肛门排气时间及住院时间、术后不良反应和疼痛情况、术前1 d、术后1 d、3 d中性粒细胞数量、CRP、TNF-α水平变化情况。结果：A组术中出血量、肛门排气时间及住院时间均明显小于B组，但A组手术时间长于B组（P0.05）。A组患者出现疼痛的比例（约16.67%）低于B组（56.66%）（P0.05），不良反应发生率（23.34%）也低于B组（58.33%）（P0.05）。结论：老年高血压患者进行腹腔镜下子宫切除术创伤小，出血量及住院时间少，有益于术后患者康复。 　　关键词 腹腔镜 老年高血压 子宫切除术 疗效 　　中图分类号：R713.42； R544.1 文献标识码：A 文章编号：1006-1533（2016）23-0052-03 　　Analysis of the effect of laparoscopic hysterectomy on inflammatory factors in elderly patients with hypertension 　　ZHOU Heying1， LU Yan2， QIN Xiaoxia2（1. Department of Cardiovascular Medicine， Maternal and Child Health Hospital of Duchang County， Jiujiang 332000， China； 2. Department of Obstetrics and Gynecology， Maternal and Child Health Hospital of Duchang County， Jiujiang 332000， China） 　　ABSTRACT Objective： To investigate the clinical effect of laparoscopic hysterectomy on the inflammatory factors in elderly patients with hypertension. Methods： One hundred and twenty cases of the patients， who underwent hysterectomy in our hospital from March， 2012 to July， 2015， were selected and divided into group A （laparoscopic surgery） and B （laparotomy） with 60 cases each. The time for operation， anal exhaust and hospitalization and the bleeding volume， adverse reactions and pain， granulocyte counts and changes of CRP and TNF-α levels at the first day before operation and the first and third days after operation were observed and compared between the two groups. Results： The bleeding volume and the time for anal exhaust and hospitalization were significantly less， but the time for operation was longer in group A than in group B （P0.05）. The proportion of pain and the incidence of adverse reactions accounted for about 16.67% and 23.34% in group A and 56.66% and 58.33% in group B， respectively and the comparison between the two groups showed statistical significance （P0.05）. Conclusion： Lap