為探討不同麻醉下膽囊切除術(shù)對術(shù)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(fù)合波(MMC)，對20例單純膽囊切除術(shù)患者(全麻和硬膜外麻醉各10例)術(shù)后早期的胃腸動力變化進(jìn)行了觀察。結(jié)果：兩組病例術(shù)后早期MMC活動均消失，術(shù)后胃腸動力的恢復(fù)遠(yuǎn)較傳統(tǒng)認(rèn)為的快。術(shù)后0.5～2小時小腸MMC重新出現(xiàn)，胃MMC在術(shù)后5.5～14小時恢復(fù)，術(shù)后22～43小時MMC完全恢復(fù)正常。進(jìn)食能使術(shù)后早期MMC轉(zhuǎn)變?yōu)橄诨顒有问?。比較兩組患者術(shù)后胃腸動力恢復(fù)的各項指標(biāo)發(fā)現(xiàn)，在全麻或硬膜外麻醉下進(jìn)行手術(shù)，其術(shù)后胃腸動力的恢復(fù)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(shù)后早期的胃腸動力變化. 中國普外基礎(chǔ)與臨床雜志, 1998, 5(3): 156-158. doi: 復(fù)制
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| 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 anesthetic agents on the electrical and mechanical activity of the rat duodenum. Br J Anesth, 1982; 54(11)∶1223. |
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| 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. |
- 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 anesthetic 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 motility, 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 procedure 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.