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腹腔镜与开腹胆囊切除术围手术期的舌象变化
引用本文:蔡骏,蔡滨,张静哲,宣正荣,朱培庭.腹腔镜与开腹胆囊切除术围手术期的舌象变化[J].中国中西医结合外科杂志,2001,7(5):301-303.
作者姓名:蔡骏  蔡滨  张静哲  宣正荣  朱培庭
作者单位:上海中医药大学附属龙华医院,上海,200032
摘    要:目的:探讨微创与常规手术病人围手术期舌象变化及其意义。方法:观察和比较腹腔镜(LC)与开腹胆囊切除术(OC)围手术期舌象的变化。结果:两组病人术后舌象较术前有不同程度的改变,OC组术后舌象中表现为气阴两亏、脾虚湿困之候者较LC组显著性增多(P<0.05)。LC组术后第1、3d的体温、血WBC、血CRP、血K^ 的变化明显小于OC组。结论:证实了LC对机体的创伤程度和影响小于OC。

关 键 词:腹腔镜术  胆囊切除术  开腹切除  围手术期  舌象
修稿时间:2000年10月6日

Comparison of Perioperative Tongue Demonstrations between Laparoscopic and Open Cholecystectomy
Cai Jun,Cai Bin,Zhang Jingzhe,et al.Comparison of Perioperative Tongue Demonstrations between Laparoscopic and Open Cholecystectomy[J].Chinese Journal of Surgery of Integrated Traditional and Western Medicine,2001,7(5):301-303.
Authors:Cai Jun  Cai Bin  Zhang Jingzhe  
Abstract:To investigate the significance of the difference of perioperative tongue demonstrations between mini traumatic and conventional cholecystectomy Methods:To compare the tongue appearance of patients treated with laparoscopic(LC)and open cholecystectomy(OC)perioperatively.Results:The tongue demonstration in both groups changed markedly after operations.The proportion of the tongue demonstration which indicates deficiency of both Qi and Yin splenasthenic hygrosis in OC group was significantly higher than that in LC group.Conclusion:The traditional inspection of the tongue reveals that the traumatic extent and the insult effect caused by LC are much less than that by OC.
Keywords:laparoscopic cholecystectomy  open cholecystectomy  tongue demonstration
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