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血脂水平与胆囊结石患者胆囊切除术后风险及疼痛的关系

王强 张显勇 鄢晓林

引用本文:
Citation:

血脂水平与胆囊结石患者胆囊切除术后风险及疼痛的关系

DOI: 10.3969/j.issn.1001-5256.2017.10.022
详细信息
  • 中图分类号: R657.42

Association of blood lipid levels with the risk of cholecystectomy and postoperative pain

  • 摘要: 目的在胆囊结石伴有高血脂的体检人群中,探讨是否可以通过控制血脂,延缓无症状胆囊结石病情进展,进而降低胆囊结石切除的风险。评估高血脂对胆囊切除术患者术后疼痛的影响情况。方法收集2013年2月-2015年2月于简阳市人民医院常规体检中胆囊结石伴有高血脂的无症状胆囊结石患者153例,随机分为试验组(72例)及对照组(81例)。试验组通过饮食、锻炼及药物等综合控制血脂,3个月时以空腹甘油三酯(TG)及总胆固醇(TC)是否处于正常范围进一步分为血脂达标组(47例)及血脂未达标组(25例)。所有患者随访2年,随访周期为3个月。以胆囊区持续疼痛或近1个月出现3次以上胆囊区不适为腹腔镜胆囊切除手术指征,根据结石数量及大小进行亚组分析,评估胆囊切除发生的风险。同时,采用数字等级疼痛量表评估手术患者住院期间、术后3及6个月的疼痛恢复情况。计量资料2组间比较采用t检验,3组间比较采用单因素方差分析,进一步两两比较采用Bonferroni检验。计数资料组间比较采用χ2检验。结果 624个月血脂控制达标组胆囊切除术发生率(23.4%)较血脂控制不达标组(68.8%)和...

     

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  • 收稿日期:  2017-03-22
  • 出版日期:  2017-10-20
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