本文選題：膽囊切除術(shù) + 膽囊切除術(shù)后綜合征��； 參考：《濟(jì)寧醫(yī)學(xué)院》2015年碩士論文

【摘要】：目的:對膽囊切除術(shù)后的患者進(jìn)行調(diào)查回訪,了解患者術(shù)后的生活質(zhì)量以及膽囊切除術(shù)后綜合征(Postcholecystectomy syndrome,PCS)的發(fā)生現(xiàn)狀,分析膽囊切除術(shù)后綜合征發(fā)生的可能原因,明確其危險(xiǎn)因素。為膽囊切除術(shù)的手術(shù)指征提出新觀點(diǎn),對膽囊疾病的診療規(guī)范進(jìn)行再思考,為預(yù)測膽囊切除術(shù)后綜合征的發(fā)生提供理論基礎(chǔ),為行膽囊切除術(shù)患者的術(shù)前評估、術(shù)后護(hù)理、宣教及注意事項(xiàng)提供理論支持。方法:對2013年5月1日至2014年4月30日期間濟(jì)寧醫(yī)學(xué)院附屬醫(yī)院肝膽外科行膽囊切除術(shù)的患者進(jìn)行隨機(jī)抽樣并調(diào)查回訪338例,回訪成功316例,其中男性101例,女性215例。將316例患者依據(jù)膽囊切除術(shù)后綜合征的診斷標(biāo)準(zhǔn)分為兩組:膽囊切除術(shù)后綜合征陽性組和膽囊切除術(shù)后綜合征陰性組;采用統(tǒng)一的調(diào)查問卷,分別對兩組患者的年齡、性別、血型、體重指數(shù)、飲酒、吸煙、精神焦慮、糖尿病、口服利膽片、飲食習(xí)慣、膽囊疾病的類型、手術(shù)方式、術(shù)前癥狀、病程長短共14個(gè)因素進(jìn)行調(diào)查,采用?2分析、logistic回歸分析,研究與膽囊切除術(shù)后綜合征的相關(guān)性,明確PCS發(fā)生的危險(xiǎn)因素。結(jié)果:316例患者中發(fā)生PCS者115例,PCS的發(fā)生率為36.39%。上述14項(xiàng)危險(xiǎn)因素中,年齡(小于45周歲)、血型(B型)、術(shù)前癥狀(有術(shù)前癥狀)、精神焦慮(存在焦慮癥狀)4項(xiàng)與PCS的發(fā)生密切相關(guān)(P0.05);性別、體重指數(shù)、飲酒、吸煙、糖尿病、服用利膽片、飲食習(xí)慣、膽囊疾病的類型、手術(shù)方式、病程長短與PCS的發(fā)生無明顯相關(guān)性(P0.05)。結(jié)論:膽囊切除術(shù)后PCS的發(fā)生率為36.39%;年齡、血型、精神焦慮及術(shù)前癥狀是PCS發(fā)生的主要危險(xiǎn)因素;膽囊切除術(shù)的手術(shù)指征除現(xiàn)有的標(biāo)準(zhǔn)外,還應(yīng)考慮患者術(shù)后的生活質(zhì)量等因素。
[Abstract]:Objective: to investigate the quality of life after cholecystectomy and the present situation of postcholecystectomy syndrome (Postcholecystectomy), analyze the possible causes of postcholecystectomy syndrome, and identify the risk factors. In order to provide a theoretical basis for predicting the occurrence of post-cholecystectomy syndrome and to provide preoperative evaluation and postoperative nursing care for patients undergoing cholecystectomy, a new point of view was put forward for the indication of cholecystectomy, and the criteria for diagnosis and treatment of cholecystectomy were reconsidered. Education and attention to provide theoretical support. Methods: from May 1, 2013 to April 30, 2014, the patients undergoing cholecystectomy in the Department of Hepatobiliary surgery, affiliated Hospital of Jining Medical College, were randomly sampled and 338 cases were investigated. 316 cases were successfully visited, including 101 males and 215 females. According to the diagnostic criteria of post-cholecystectomy syndrome, 316 patients were divided into two groups: the positive group of post-cholecystectomy syndrome and the negative group of post-cholecystectomy syndrome. Blood type, body mass index, alcohol consumption, smoking, mental anxiety, diabetes mellitus, oral cholangiopancreatic tablets, dietary habits, types of gallbladder diseases, surgical methods, preoperative symptoms, duration of disease were investigated by logistic regression analysis. To study the correlation with postcholecystectomy syndrome and identify the risk factors of PCS. Results the incidence of PCS in 115 out of 316 patients was 36.39. Among the 14 risk factors mentioned above, age (younger than 45 years), blood type B, preoperative symptoms (with preoperative symptoms and mental anxiety) were closely related to the occurrence of PCS, sex, body mass index, alcohol consumption, smoking, diabetes mellitus, There was no significant correlation between Lidan tablets, dietary habits, types of gallbladder diseases, operative methods, duration of disease and the occurrence of PCS. Conclusion: the incidence of PCS after cholecystectomy is 36.39. Age, blood type, mental anxiety and preoperative symptoms are the main risk factors for the occurrence of PCS. The quality of life after operation should also be considered.
【學(xué)位授予單位】：濟(jì)寧醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R657.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前3條

1 魏曉;劉威;袁靜;黃留玉;;人類腸道菌群與疾病關(guān)系的元基因組學(xué)研究進(jìn)展[J];中國微生態(tài)學(xué)雜志;2011年01期

2 孫誠誼;朱海濤;;膽囊功能的新認(rèn)識[J];世界華人消化雜志;2012年33期

3 楊堅(jiān);苗雄鷹;陳湘平;劉水根;張?jiān)ＨA;;膽囊切除術(shù)后綜合征相關(guān)危險(xiǎn)因素分析[J];中國現(xiàn)代手術(shù)學(xué)雜志;2013年05期

，

本文編號：1878811