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后腹腔镜肾癌根治术对患者术后疼痛及相关血液指标的影响
李巍伟,王莹
0
(首都医科大学附属北京康复医院泌尿外科)
摘要:
【摘要】目的 探讨后腹腔镜肾癌根治术对患者术后疼痛及相关血液指标的影响。方法 选取2012年3月~2016年11月期间于本院接受手术治疗的62例肾癌患者为研究对象,根据手术方式的不同分为对照组和观察组,每组各31例,对照组患者进行常规开放式肾癌根治术治疗,观察组患者则进行后腹腔镜肾癌根治术治疗,比较两组患者术前与术后1、3、5d的疼痛评分及相关血清指标。结果 术前两组患者的疼痛评分及疼痛相关血清指标间比较差异均无统计学意义(P>0.05);而术前至术后1、3、5天观察组的重度疼痛率分别为645%、4194%、2903%及1290%,疼痛相关血清指标(SP、BK、PGE2、IL8、NGF及βEP)均先升后降,且术后1d均高于其他时间,术后观察组均低于对照组(P<0.05)。结论 后腹腔镜肾癌根治术对患者术后疼痛及相关血液指标的影响效果较好,因此在改善患者术后不适感及相关血液指标方面均有积极的应用价值。
关键词:  后腹腔镜肾癌根治术  术后疼痛  相关血液指标
DOI:
基金项目:北京市科学技术委员会项目(Q112102202)
Influence of retroperitoneal laparoscopic radical nephrectomy for the postoperative pain and related blood indexes of patients
LI Weiwei,WANG Ying
(Department of Urology Surgery, Beijing Rehabilitation Hospital, Capital Medical University)
Abstract:
【Abstract】 Objective To investigate the influence situation of retroperitoneal laparoscopic radical nephrectomy for the postoperative pain and related blood indexes of patients.Methods 62 surgical patients with renal carcinoma in our hospital during the time of August 2014 to April 2016 were set as the study object,and 62 surgical patients were divided into control group and observation group according to the difference of surgery methods,31 patients in control group were treated with conventional radical nephrectomy,31 patients in observation group were treated with retroperitoneal laparoscopic radical nephrectomy,then the pain score,pain related serum indexes of two groups before the surgery and at 1st,3rd and 5thday after the surgery were compared.Results The pain score,pain related serum indexes of two groups before the surgery were compared,all P>005,while the severe pain rates of observation group before the surgery and at 1st,3rd and 5th day after the surgery were respectively 645%,4194%,2903%及 and 1290%,pain related serum indexes(SP,BK,PGE2,IL8,NGF and βEP)were respectively,and they all increased first and decreased afterward,and the results at 1st day after the surgery were all higher than those at other time,and the results after the surgery were all lower than those of control group,all P<005.Conclusion The control role of retroperitoneal laparoscopic radical nephrectomy for the postoperative pain and related blood indexes of patients are better,so the surgery mode has more active application value for the improvement of postoperative discomfort and its related indexes of patients.
Key words:  Retroperitoneal laparoscopic radical nephrectomy  Postoperative pain  Related blood indexes

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