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目的比较不同子宫肌瘤剔除术对患者术后机体综合应激状态的影响程度。方法选取2013年10月-2014年5月于四川省人民医院进行子宫肌瘤剔除术的120例患者为研究对象,将其随机分为A组(开腹子宫肌瘤剔除术组)40例、B组(阴式子宫肌瘤剔除术组)40例和C组(腹腔镜子宫肌瘤剔除术组)40例,然后将3组患者术前及术后1 d、3 d及7 d的血清炎性应激、氧化应激及疼痛应激指标进行比较。结果 A组术后1 d、3 d及7 d的血清炎性应激、氧化应激及疼痛应激指标均差于B组及C组,C组术后1 d、3 d的检测水平则差于B组(P均<0.05)。结论阴式子宫肌瘤剔除术对患者术后机体综合应激状态的不良影响明显更小,更为适用于子宫肌瘤剔除术患者。
Objective To compare the degree of influence of different myomectomy on postoperative patients’ comprehensive stress state. Methods A total of 120 patients underwent myomectomy in Sichuan Provincial People’s Hospital from October 2013 to May 2014 were selected and randomly divided into group A (open myomectomy group) 40 cases, Forty cases in group B (vaginal myomectomy group) and 40 cases in group C (laparoscopic myomectomy group), and then three groups of patients before and 1 d, 3 d and 7 d after the serum Inflammatory stress, oxidative stress and pain stress indicators were compared. Results The serum inflammatory stress, oxidative stress and pain stress indexes in group A at 1 d, 3 d and 7 d after operation were significantly lower than those in group B and group C. The detection level at 1 d and 3 d after operation in group C Worse than group B (all P <0.05). Conclusions Negative myomectomy can significantly reduce the adverse effect of postoperative comprehensive stress, which is more suitable for myomectomy patients.