Delaunay L, Bonnet F, Cherqui D, Rimaniol J M, Dahan E, Atlan G
Réanimation Chirurgicale, Hôpital Henry Mondor, Créteil, France.
Br J Surg. 1995 Mar;82(3):373-6. doi: 10.1002/bjs.1800820331.
Surgery elicits a subjective feeling of postoperative fatigue, at least partly related to an impairment in cardiorespiratory function and muscle performance. Laparoscopic surgery is reported to impair the patient's condition minimally. The aim of this study was to assess exercise performance in patients scheduled for elective laparoscopic cholecystectomy. Nine patients assessed as having American Society of Anesthesiologists (ASA) grade I were enrolled in the study. Subjective feelings of fatigue (measured on a visual analogue scale), and heart rate, systemic arterial pressure oxygen consumption and carbon dioxide production responses to graded exercise testing, were assessed before operation and on days 3 and 10 after operation. There were no significant differences in any of these measurements, at rest or during exercise, between the preoperative and postoperative values. Uncomplicated laparoscopic cholecystectomy does not impair postoperative cardiorespiratory and muscle performance or induce significant postoperative fatigue in patients with ASA I, allowing rapid recovery.
手术会引发术后疲劳的主观感受，这至少部分与心肺功能和肌肉表现受损有关。据报道，腹腔镜手术对患者状况的影响最小。本研究的目的是评估计划接受择期腹腔镜胆囊切除术患者的运动表现。九名被评估为美国麻醉医师协会（ASA）I级的患者纳入了研究。在手术前以及术后第3天和第10天，评估了疲劳的主观感受（采用视觉模拟量表测量），以及分级运动试验时的心率、体动脉压、耗氧量和二氧化碳产生反应。术前和术后这些测量值在静息或运动时均无显著差异。对于ASA I级患者，无并发症的腹腔镜胆囊切除术不会损害术后心肺和肌肉表现，也不会导致明显的术后疲劳，从而使其能够快速恢复。
