快速康复外科对腹腔镜胆囊切除术患者术后并发症及应激状态影响研究.docVIP

快速康复外科对腹腔镜胆囊切除术患者术后并发症及应激状态影响研究 　　【摘要】 目的：深入探?快速康复外科对腹腔镜胆囊切除术患者术后并发症以及对患者应激状态的临床实际影响，为相关临床实践提供参考依据。方法：选取2016年1月-2017年1月本院临床收治的腹腔镜胆囊切除术患者138例为研究对象，采用随机数字表法将患者分成研究组和对照组，各69例。对照组给予常规的腹腔镜胆囊切除术治疗，研究组以快速康复外科理论为指导，实施腹腔镜胆囊切除术。对两组患者应激状态指标、血糖及术后并发症发生情况进行观察和比较。结果：术前，两组患者的Cor、IL-6、CRP及血糖比较，差异均无统计学意义（P0.05）；术后，研究组患者的Cor、IL-6和CRP水平均明显优于对照组，差异均有统计学意义（P0.05）。研究组患者的血糖低于对照组，差异有统计学意义（P0.05）。研究组患者并发症发生率为2.90%（2/69），明显低于对照组的14.49%（10/69），差异有统计学意义（P0.05）。结论：快速康复外科理论应用于腹腔镜胆囊切除术能够有效的控制血糖水平，降低患者术后并发症发生率，显著改善患者的应激状态，是临床实践的理想方式。 　　【关键词】 快速康复外科； 腹腔镜； 胆囊切除术； 并发症； 应激状态 　　Study of the Effect of Rapid Rehabilitation on Postoperative Complications and Stress Status in Patients with Laparoscopic Cholecystectomy/HE An，SUN Wen，LIN Cai-xin.//Medical Innovation of China，2017，14（30）：109-111 　　【Abstract】 Objective：To explore the clinical effect of rapid rehabilitation surgery on postoperative complications and stress status of patients with laparoscopic cholecystectomy，and to provide reference for clinical practice.Method：138 patients with laparoscopic cholecystectomy for clinical treatment in our hospital from January 2016 to January 2017 were chosen as the research objects.The patients were randomized divided into the study group and the control group by random number table method with 69 each.The control group was treated with conventional laparoscopic cholecystectomy，the study group was treated with laparoscopic cholecystectomy under the guidance of rapid rehabilitation surgery.The stress status indices，blood glucose and postoperative complications of the two groups were observed and compared.Result：The Cor，IL-6，CRP and blood glucose of the two groups before operation were not statistically significant（P0.05）.After the surgery，the Cor，IL-6 and CRP in the study group were significantly better than those in control group，the differences were statistically significant（P0.05）；the blood glucose lower than the that in control group，the difference was statistically significant（P0.05）；the complication ra