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微创与开腹膀胱造口手术对小型猪应激反应的影响

Stress response of minimally invasive cyctostomy and open cystostomy in swine

中文摘要英文摘要

对14头健康小型猪分别进行开腹、腹腔镜膀胱造口手术,通过检测小型猪术后不同时间点血清皮质醇(cortisol, COR)、白介素-6(Interleukin-6, IL-6)和C反应蛋白(C-reactive protein, CRP)的变化,比较传统开腹膀胱造口手术(Open Cystostomy, OC)与腹腔镜膀胱造口手术(Laparoscopic Cystostomy, LC)对机体应激反应的影响。结果表明,LC、OC两组分别在不同时间点所检测到的的COR、IL-6和CRP与实验前相比,都有极显著性差异(P<0.01)。在术后即刻、4 h OC组对应激指标的影响要明显高于LC组,并且术后3d LC 组都恢复到实验前水平,而OC组术后5 d才恢复。说明LC和OC都可导致血清中COR、IL-6、CRP水平的升高,但OC较LC对COR、IL-6和CRP的影响更为显著,即腹腔镜膀胱造口手术比开腹膀胱造口手术对机体应激反应的影响更小。

14 healthy miniature pigs were selected and randomly divided into two groups, Laparoscopic Cystostomy group and Open Cystostomy group. By detecting the change of the different time points after surgery of the miniature pig's Serum cortisol (COR), Interleukin - 6 (IL - 6) and C-reactive protein (CRP), Comparative the effects of traditional Open Cystostomy and laparoscopic Cystostomy on the body's stress response. The results show that LC and OC in the two groups at different time points respectively detected by COR, IL - 6 and CRP compared with before the trial, has the extremely significant difference (P < 0.01). In the immediate postoperative, the affect on stress index show that 4h OC group is significantly higher than the LC group, and postoperative 3d the LC group are restored to the level of before the experiment, while the OC group did not resume after 5d. Description LC and OC can lead to increase of serum COR, IL-6 and CRP levels. but OC compared with LC for COR, IL-6 and CRP affect the more significant that the Laparoscopic Cystostomy than Open Cystostomy affect the body's stress response is smaller.

周志飞、张华、王洪斌

外科学基础医学

腹腔镜膀胱造口术小型猪应激反应

Laparoscope Cystostomy Miniature pigsStress response

周志飞,张华,王洪斌.微创与开腹膀胱造口手术对小型猪应激反应的影响[EB/OL].(2014-03-25)[2025-08-24].http://www.paper.edu.cn/releasepaper/content/201403-729.点此复制

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