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行腹腔镜胆囊切除与开腹胆道手术患者心理应激及精神免疫研究

  • 涂志强,王卫星,杨海燕,杨敏

* 通信作者: 涂志强, 单位:枣阳市第一人民医院

摘要

【摘要】
目的 研究行腹腔镜胆囊切除和开腹胆道手术患者的心理应激情况与免疫功能的影响情况,为提高患者的术后生存质量寻求依据。

方法 选择2014年-2016年我院收治的140例胆道疾病患者为研究对象,根据手术方式的不同将其分为腹腔镜组和开腹组,比较两组患者的术后机体应激状况、免疫功能变化心理应激状况。

结果 LC组患者的机体应激状况、免疫功能变化心理应激状况均无OC组明显,差异有统计学意义(P<0.05)。

结论 腹腔镜胆囊切除术效果明确,除了既往证实的创伤小、术后恢复快等优势,对患者的术后免疫功能和应激情况影响较小,同时也能有效降低患者术后的心理应激情况,值得临床推荐。

关键词:【关键词】腹腔镜;开腹;胆囊切除;心理应激;免疫功能

ABSTRACT

Abstract:
Objective Study on psychological stress and mental immunity in patients undergoing laparoscopic cholecystectomy and open cholecystectomy.

Methods 140 cases of biliary tract disease in 2014 -2016 in our hospital as the research object, according to the different methods of operation will be divided into laparoscopic group and laparotomy group, compared two groups of patients with postoperative stress condition, the change of immune function in psychological stress.

Results There was no significant difference between the LC group and the OC group in the state of stress and immune function. The difference was statistically significant (P < 0.05).

Conclusion   Laparoscopic cholecystectomy effect is clear, in addition to previously confirmed small trauma and fast postoperative recovery advantages on immune function and stress condition of smaller patients after operation, but also can effectively reduce the psychological stress of patients, is worthy of recommendation.

Key words: Key words:Laparoscopy; Laparotomy; cholecystectomy; psychological stress; immune function

引用本文 / How to Cite This Article

涂志强,王卫星,杨海燕,杨敏.行腹腔镜胆囊切除与开腹胆道手术患者心理应激及精神免疫研究[J]. 国际精神病学杂志, , (): -

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