腹腔镜与开腹胆囊切除术患者术后康复和生活质量的比较

目的 探讨腹腔镜和开腹胆囊炎切除术对患者术后康复和生活质量的影响.方法 41例患者应用腹腔镜手术,与41例常规手术患者进行术后胃肠功能恢复情况比较并对康复情况进行预测.结果 观察组术后胃肠功能恢复时间为(1.2±0.2)d,快于对照组的(2.1±0.4)d(P＜0.05)；观察组术后胃肠功能达到1级的患者21例,多于对照组的6例(P＜0.05)；观察组术后C-反应蛋白平均值为(21.3±3.4)m/L,低于对照组的(32.7±5.3)mg/L(P＜0.05)；降至正常所用时间为(11.2±1.8)d,短于对照组的(16.1±2.4)d(P＜0.05).结论 腹腔镜手术相对于开腹胆囊切除术,减少了手术创伤对患者的应激,术后能较快地恢复胃肠功能,提高了患者术后早期生活质量.

Comparison of the Postoperative rehabilitation and life quality between cholecystitis laparoscopy and open resection

Objective To investigate the postoperative rehabilitation and life quality of cholecystitis laparoscopy and open resection.Methods 41 patients with laparoscopic surgery and 41 cases with general surgery,compared postoperative recovery of gastrointestinal function and to predict patients recovery from surgery.Results Observation group with postoperative recovery of gastrointestinal function was faster than control group（1.2±0.2）d vs（2.1±0.4）d,P〈0.05],postoperative gastrointestinal function with grade I was more than control group（21 vs 6）（P〈0.05）,C-reactive protein value was lower than control group after surgery（21.3±3.4）mg/L vs （32.7±5.3）mg/L,P〈0.05],it had a short time to decrease to normal in observation group（11.2±1.8）d vs （16.1±2.4）d（P〈0.05）].Conclusion Laparoscopic surgery compared with open cholecystectomy,it could reduce surgical trauma to the patient′s stress,rapid recovery of postoperative gastrointestinal function,so it can improve the early postoperative quality of life.