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目的:探讨腹腔镜下卵巢囊肿剥除术对患者应激反应的影响。方法:90例卵巢囊肿患者随机分为两组,对照组45例,观察组45例,对照组采用传统开腹手术,观察组采用腹腔镜下卵巢囊肿剥除术。观察2组手术时间、术中出血量、术后肠道功能恢复时间、术后住院时间。测定术前、术后患者血清的皮质醇(Cor)和超敏C反应蛋白(hs-CRP)。结果:观察组在术中出血量、术后肠道功能恢复时间、术后住院时间均少于对照组(P<0.05)。两组术后血清Cor和hs-CRP均有明显升高,但是观察组比对照组术后更低,两组比较差异具有统计学意义(P<0.05)。结论:腹腔镜下卵巢囊肿剥除术对患者应激反应影响较小。
Objective: To investigate the effect of laparoscopic ovarian cyst excision on stress response in patients. Methods: Ninety patients with ovarian cysts were randomly divided into two groups: control group (45 cases) and observation group (45 cases). The control group received laparoscopic laparoscopic ovarian cyst excision. The operation time, intraoperative blood loss, postoperative intestinal function recovery time and postoperative hospital stay were observed. Serum cortisol (Cor) and high-sensitivity C-reactive protein (hs-CRP) were measured before and after surgery. Results: The bleeding volume, postoperative intestinal function recovery time and postoperative hospital stay in the observation group were all less than those in the control group (P <0.05). Serum Cor and hs-CRP in both groups were significantly increased, but the observation group was lower than the control group postoperatively, the difference between the two groups was statistically significant (P <0.05). Conclusion: Laparoscopic ovarian cyst stripping has little effect on patients’ stress response.