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免气腹悬吊式腹腔镜与常规腹腔镜胆囊切除术术后呕吐的研究

A Comparative Study of Vomiting after Gasless Laparoscopic Cholecystectomy of Abdominal Wall Lifting and Conventional Laparoscopic Cholecystectomy

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【作者】 王淑贤于跃利陈彪董玉红

【Author】 WANG Shuxian;YU Yaoli;CHEN Biao;DONG Yuhong;The First Affiliated Hospital,Baotou Medical College;

【机构】 包头医学院第一附属医院

【摘要】 目的:研究悬吊式免气腹腹腔镜胆囊切除术术后发生恶心、呕吐的情况。方法:随机选择包头医学院第一附属医院2009年5月至2010年5月患有胆囊炎、胆囊结石或胆囊息肉入院的患者,随机分为免气腹腹腔镜胆囊切除术组(A组)30例、传统腹腔镜胆囊切除术组(B组)30例。结果:术后两组恶心、呕吐发生率随时间而降低,B组各时间段恶心、呕吐发生率均高于A组,在术后24 h内两组恶心发生率差异均有统计学意义(P<0.05),在术后12 h内两组呕吐发生率差异均有统计学意义(P<0.05)。结论:免气腹腹腔镜胆囊切除术恶心、呕吐发生率低于传统腹腔镜胆囊切除术。

【Abstract】 Objective: To compare and analyse the patients’ state of postoperative nausea and vomiting( PONV) after gasless laparoscopic cholecystectomy of abdominal wall lifting( GLC) and convention laparoscopic cholecystectomy( CLC). Methods: 60 patients hospitalized for chronic cholecystitis,cholecystolithiasis and gall bladder polypi in the First Affiliated Hospital of Baotou Medical College from July 2009 to March 2010 were randomly divided into GLC group( group A) and CLC group( group B),with 30 patients in each group. Results: The incidence of PONV went down with time in two groups. The incidence of PONV in group B was higher than that in group A at various stages. There was significant difference( P < 0. 05) in the incidence of nausea within 24 hours after the operation,and significant difference( P < 0. 05) in the incidence of vomiting within 12 hours after the operation,between the two groups. Conclution: Compared with that in CLC,The incidence of PONV was lower in GLC.

  • 【文献出处】 包头医学院学报 ,Journal of Baotou Medical College , 编辑部邮箱 ,2014年03期
  • 【分类号】R657.4
  • 【被引频次】1
  • 【下载频次】29
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