后腹腔镜肾上腺切除术围术期采用加速康复外科处理方案对炎症反应影响的研究

唐朝朋; 徐振宇; 董杰; 韦秀望; 高建平; 张征宇; 葛京平; 江志伟; 周文泉

doi:10.7619/jcmp.201309010

后腹腔镜肾上腺切除术围术期采用加速康复外科处理方案对炎症反应影响的研究

1.
南京军区南京总医院,泌尿外科,江苏南京,210002;
2.
南京军区南京总医院,普通外科研究所,江苏南京,210002

详细信息

中图分类号: R699.3
计量
- 文章访问数: 196
- HTML全文浏览量: 28
- PDF下载量: 6
出版历程
- 发布日期: 2013-10-17

Inflammatory response of fast track surgery strategy for patients undergoing retroperitoneal laparoscopic adrenalectomy

摘要

摘要: 目的比较行后腹腔镜肾上腺切除术患者围术期应用加速康复外科处理方案与常规处理方案对患者炎症反应的影响.方法将80例行后腹腔镜肾上腺切除术的患者随机分为FTS组和对照组,FTS组给予加速康复外科处理,对照组给予常规围术期处理.记录并比较2组术前24 h,术后2、24 h的IL-1β、IL-6、IL-10、TNF-α、CRP、白细胞计数等指标,同时观察并比较2组手术时间、术中出血量、导尿管和引流管留置时间、住院时间等方面的变化.结果 FTS组术后2、24h的CRP、TNF-α、IL-1β、IL-6、IL-10水平明显低于对照组(P＜0.01)；白细胞计数方面,2组术后24 h差异有统计学意义(P＜0.05); FTS组导尿管和引流管留置时间、术后住院时间较对照组明显减少(P＜0 01).结论后腹腔镜肾上腺切除术围术期采用加速康复外科处理方案能减轻患者的炎症反应,有利于患者的术后康复.
- 加速康复外科 /
- 后腹腔镜肾上腺切除术 /
- 围术期 /
- 炎症反应
- fast tract surgery /
- retroperitoneal laparoscopy adrenalectomy /
- perioperative period /
- inflammatory response

HTML全文

参考文献(15)

Wilmore D W. From Cuthbertson to Fast-Track Surgery:70 Years of Progress in Reducing Stress in Surgical Patients [J]. Annals of Surgery, 2002(5):643.

江志伟, 黎介寿. 快速康复外科理论指导下的围术期处理 [J]. 腹部外科, 2009(5):305.doi: 10.3969/j.issn.1003-5591.2009.05.022.

周建萍, 张兰凤, 杭小平. 加速康复外科理念在食管癌术后早期肠内营养中的应用及护理 [J]. 实用临床医药杂志, 2010, (20):5.doi: 10.3969/j.issn.1672-2353.2010.20.003.

Gagner M, Lacroix A, Bolte E. Laparoscopic adrenalectomy in cushings-syndrome and pheochromocytoma [J]. New England Journal of Medicine, 1992, (14):1033.

Kehlet H. Fast-track colonic surgery:Status and perspectives [J]. Recent Results in Cancer Research, 2005.8.

Navarro-Gonzá1ez J F, Mora-Fernández C. The Role of Inflammatory Cytokines in Diabetic Nephropathy [J]. Journal of the American Society of Nephrology, 2008(3):433.

Netea M G, Nold-Petry C A, Nold M F. Differential requirement for the activation of the inflammasome for processing and release of IL-1β in monocytes and macrophages [J]. Blood, 2009, (10):2324.

Howren M B, Lamkin D M, SulsJ. Associations of Depression With C-Reactive Protein, IL-1, and IL-6:A MetaAnalysis [J]. Psychosomatic Medicine, 2009(2):171.

Ni Choileain N RH. Cell response to surgery [J]. Archives of Surgery, 2006, (11):1132.

王海之, 江志伟, 汪志明. 结直肠癌患者应用加速康复外科术后炎症反应和免疫功能的变化 [J]. 肠外与肠内营养, 2009(4):195.

Pineda C, Shelton A, Hernandez-Boussard T. Mechanical Bowel Preparation in Intestinal Surgery:A MetaAnalysis and Review of the Literature [J]. Journal of Gastrointestinal Surgery, 2008, (11):2037.

Slim K, Vicaut E, Launay-Savary M-V. Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials on the Role of Mechanical Bowel Preparation Before Colorectal Surgery [J]. Annals of Surgery, 2009(2):203.

Itou K, Fukuyama T, Sasabuchi Y. Safety and efficacy of oral rehydration therapy until 2h before surgery:a multicenter randomized controlled trial [J]. Journal of Anesthesia, 2012(1):20.

郭振, 李幼生. 围术期液体治疗在结直肠快通道外科中的应用 [J]. 医学研究生学报, 2011(9):993.

White P F. The Role of Non-Opioid Analgesic Techniques in the Management of Pain After Ambulatory Surgery [J]. Anesthesia and Analgesia, 2002(3):577.

施引文献

资源附件(0)

计量

文章访问数: 196
HTML全文浏览量: 28
PDF下载量: 6
被引次数: 0

后腹腔镜肾上腺切除术围术期采用加速康复外科处理方案对炎症反应影响的研究

计量

出版历程

Inflammatory response of fast track surgery strategy for patients undergoing retroperitoneal laparoscopic adrenalectomy

计量

出版历程

目录