不同麻醉下膽囊切除術后早期的胃腸動力變化_《中國普外基礎與臨床雜志》

作者：

孫益紅 , 秦新裕 , 王承

上海醫科大學中山醫院外科(上海200032);

關鍵詞：

胃腸動力膽囊切除術麻醉腸麻痹

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為探討不同麻醉下膽囊切除術對術后胃腸動力的影響，采用胃腸測壓法記錄胃腸移行性動力復合波(MMC)，對20例單純膽囊切除術患者(全麻和硬膜外麻醉各10例)術后早期的胃腸動力變化進行了觀察。結果：兩組病例術后早期MMC活動均消失，術后胃腸動力的恢復遠較傳統認為的快。術后0.5～2小時小腸MMC重新出現，胃MMC在術后5.5～14小時恢復，術后22～43小時MMC完全恢復正常。進食能使術后早期MMC轉變為消化期活動形式。比較兩組患者術后胃腸動力恢復的各項指標發現，在全麻或硬膜外麻醉下進行手術，其術后胃腸動力的恢復過程無明顯差異。

引用本文： 孫益紅,秦新裕,王承. 不同麻醉下膽囊切除術后早期的胃腸動力變化. 中國普外基礎與臨床雜志, 1998, 5(3): 156-158. doi: 復制

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1. Vantrappen G, Janssens J, Hellemans J,et al.The interdigestive motor complex of normal subjects and patients with bacterial overgrowth of the small intestine. J Clin Invest, 1977; 59(6)∶1158.
2. Kellow JE, Borody TJ, Phillips SF,et al.Human interdigestive motility: variations in patterns from esophagus to colon. Gastroenterology, 1986; 91(2)∶386.
3. Wright JW, Healy TEJ, Baltour TW, et al.Effects of inhalational anesthetic agents on the electrical and mechanical activity of the rat duodenum. Br J Anesth, 1982; 54(11)∶1223.
4. Schurizek BA. The effects of general anaesthesia on antroduodenal motility, gastric pH gastric emptying in man. Dan Med Bull, 1991; 38(4)∶347.
5. Bueno L, Ferre JP, Ruckebusch Y. Effects of anaesthesia and surgical procedure on intestinal myoelectric activity in rats. Am J Dig Dis, 1978; 23(8)∶690.
6. Carlstedt A. Epidural anaesthesia and postoperative colorectal motility a possiable hazard to a colorectal anastomosis. Int J Colorectal Dis, 1989; 4(3)∶144.
7. Petring OU. Epidural anaesthesia does not delay early operative gastric emptying in man. Acta Anaesthesiol Scand, 1984; 28(4)∶393.
8. Rothnie NG, Harper RA, Catchpole BN. Early postoperative gastrointestinal activity. Lancet, 1963; 22(1)∶64.
9. Waldhausen JHT, Shaffrey ME, Skenderis BS, et al.Gastrointestinal myoelectric and clinical patterns of recovery after laparotomy. Ann Surg, 1990; 211(6)∶777.
10. Condon RE,Cowles VE, Schulte WJ, et al.Resolution of postoperative ileus in humans. Ann Surg, 1986; 203(5)∶574.

《中國普外基礎與臨床雜志》

不同麻醉下膽囊切除術后早期的胃腸動力變化

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《中國普外基礎與臨床雜志》

不同麻醉下膽囊切除術后早期的胃腸動力變化

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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