腹腔镜及开腹胆囊切除术对急性结石性胆囊炎患者胃肠功能及CRP影响.doc

腹腔镜及开腹胆囊切除术对急性结石性胆囊炎患者胃肠功能及CRP影响[摘要] 目的：探讨腹腔镜和开腹胆囊切除术对急性结石性胆囊炎患者胃肠功能和C-反应蛋白（CRP）的影响。方法：将2008年1月~2010年12月于我院进行治疗的82例急性结石性胆囊炎患者作为研究对象，随机分为A组（腹腔镜胆囊切除术组）41例和B组（开腹胆囊切除术组）41例，后将两组患者的肠功能恢复率、排便、排气、肠鸣音、进食时间、不良反应发生率、治疗前及治疗后12、24及48 h的CRP水平进行统计及比较。结果：A组12 h内肠功能恢复率高于B组（31.71% vs 14.63%），排便、排气、肠鸣音、进食时间短于对照组[（26.47±3.30）、（16.85±2.97）、（13.02±3.12）、（28.96±4.15） h vs （45.12±6.35）、（26.68±3.08）、（21.15±2.56）、46.97±7.16）h]，不良反应发生率低于对照组（9.76% vs 2.44%），治疗后12、24及48 h的CRP水平低于对照组[（12.25±2.12）、（15.24±2.30）、（10.67±2.02）mg/L vs（9.09±1.94）、（10.58±1.97）、（7.98±1.85）mg/L]，差异均有统计学意义（均P＜0.05）。结论：腹腔镜胆囊切除术对急性结石性胆囊炎患者胃肠功能和CRP的影响明显好于开腹胆囊切除术。 [关键词] 腹腔镜胆囊切除术；开腹胆囊切除术；急性结石性胆囊炎；胃肠功能；CRP；影响 [中图分类号] R657.41[文献标识码]Ａ [文章编号]1673-7210（2011）08（a）-039-02 The influence on the laparoscopic cholecystectomy and open cholecystectomy for the gastrointestinal function and CRP of patients with acute lithic cholecystitis PENG Youming The Traditional Chinese Medicine Hospital of Ba’nan District in Chongqing City, Chongqing 401320, China [Abstract] Objective: To study the influence of the laparoscopic cholecystectomy and open cholecystectomy for the gastrointestinal function and CRP of patients with acute lithic cholecystitis. Methods: 82 patients with acute lithic cholecystitis in our hospital from January 2008 to December 2010 were selected, and they were randomly divided into group A (laparoscopic cholecystectomy group) 41 cases and group B (open cholecystectomy group) 41 cases, then the recovery rate of intestinal function, time of defecation, exhaust, gurgling sound, intake, incidence of adverse reactions, CRP before and after the treatment at 12 h, 24 h and 48 h of two groups were studied and compared. Results: Therecovery rate of intestinal function of group A in 12 h was higher than that of group B (31.71% vs 14.63%), time of defecation, exhaust, gurgling sound, intake [(26.47±3.30), (16.85±2.97), (13.02±3.12), (28.96±4.15) vs (45.12±6.35), (26.68±3.08), (21.15±2.56), (46.97±7.16) h] were shorter than