欢迎来到天天文库
浏览记录
ID:53740666
大小:742.93 KB
页数:6页
时间:2020-04-21
《地佐辛联合氟比洛芬酯术后多模式镇痛对胃癌根治术患者细胞免疫功能的影响-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、第35卷第5期西安交通大学学报(医学版)V01.35No.52014年9月JournalofXi’anJiaotongUniversity(MedicalSciences)Sep.2014◇临床研究◇地佐辛联合氟比洛芬酯术后多模式镇痛对胃癌根治术患者细胞免疫功能的影响高燕凤,袁伟,丁晓英。,霍雄伟。,景桂霞,吕毅(西安交通大学医学院:1.第一附属医院麻醉科,陕西西安710061;2.第二附属医院麻醉科,陕西西安710004;3.第一附属医院普通外科;4.第一附属医院肝胆外科,陕西西安710061)摘要:目
2、的观察地佐辛联合氟比洛芬酯术后多模式镇痛对胃癌根治术患者的镇痛效果及对免疫功能的影响。方法胃癌根治术患者4O例,ASAI或Ⅱ级,随机均分为地佐辛联合氟比洛芬酯组(DF组)和芬太尼组(F组),两组患者均行全凭静脉复合麻醉。两组患者术毕清醒后行静脉自控镇痛(PCIA),DF组镇痛泵配方为地佐辛3omg加氟比洛芬酯150mg,F组为芬太尼0.01mg/(d·kg),两组均加生理盐水配至100mL。初始负荷剂量4mI,背景剂量2mL/h,单次PCA剂量0.5mL,锁定时间15min。术后记录VAS评分、Ramsa
3、y镇静评分和不良反应的发生情况。分别于麻醉诱导前、术毕、术后1、3、5d抽血测定患者CD3、CD4、CD8、CD4。。/CD8和自然杀伤细胞(NK细胞)水平。结果两组患者术后VAS评分、Ramsay镇静评分差异无统计学意义,DF组不良反应明显少于F组(P<0.05)。与麻醉前比,术毕两组患者CD3、CD4、CD4/CD8。。及NK细胞数量均下降(P4、P5、odalanalgesiawithdezocineandflurblprofenoncellularimmunefunctioninpatientsafterradicalgastriccancersurgeryGAOYan—feng,YUANWei,DINGXiao—ying,HUOXiong—wei。,JINGGui—xia,LUYi(MediealSchoolofXi’anJiaotongUniversity:1.DepartmentofAnesthesiology,theFirstAffiliat6、edHospital,Xi’an710061;2.DepartmentofAnesthesiology,theSecondAffiliatedHospital,Xi’an710004;3.DepartmentofGeneralSurgery,theFirstAffiliatedHospital;4.DepartmentofHepatobiliarySurgery,theFirstAffiliatedHospital,Xi’an710061,China)ABSTRACT:ObjectiveToinvesti7、gatetheeffectsofpostoperativemultimodalanalgesiawithdezocineandflurblprofenonpostoperativeanalgesiaandcellularimmunefunctioninpatientsafterradicalgastriccancersurgery.MethodsFortypatients(ASAIorⅡgrade)withgastriccancerundergoingradicalgastrectomyintotalin8、travenousanesthesiawererandomlydividedintotwogroups.Thepostoperativeanalgesicsweredezocineandflurblprofen(groupDF)orfentanil(groupF):groupDFPCIAwithdezocine30mg+flurblprofen150mg;groupFPCIAwithfentanyl0.01mg/(d·kg).
4、P5、odalanalgesiawithdezocineandflurblprofenoncellularimmunefunctioninpatientsafterradicalgastriccancersurgeryGAOYan—feng,YUANWei,DINGXiao—ying,HUOXiong—wei。,JINGGui—xia,LUYi(MediealSchoolofXi’anJiaotongUniversity:1.DepartmentofAnesthesiology,theFirstAffiliat6、edHospital,Xi’an710061;2.DepartmentofAnesthesiology,theSecondAffiliatedHospital,Xi’an710004;3.DepartmentofGeneralSurgery,theFirstAffiliatedHospital;4.DepartmentofHepatobiliarySurgery,theFirstAffiliatedHospital,Xi’an710061,China)ABSTRACT:ObjectiveToinvesti7、gatetheeffectsofpostoperativemultimodalanalgesiawithdezocineandflurblprofenonpostoperativeanalgesiaandcellularimmunefunctioninpatientsafterradicalgastriccancersurgery.MethodsFortypatients(ASAIorⅡgrade)withgastriccancerundergoingradicalgastrectomyintotalin8、travenousanesthesiawererandomlydividedintotwogroups.Thepostoperativeanalgesicsweredezocineandflurblprofen(groupDF)orfentanil(groupF):groupDFPCIAwithdezocine30mg+flurblprofen150mg;groupFPCIAwithfentanyl0.01mg/(d·kg).
5、odalanalgesiawithdezocineandflurblprofenoncellularimmunefunctioninpatientsafterradicalgastriccancersurgeryGAOYan—feng,YUANWei,DINGXiao—ying,HUOXiong—wei。,JINGGui—xia,LUYi(MediealSchoolofXi’anJiaotongUniversity:1.DepartmentofAnesthesiology,theFirstAffiliat
6、edHospital,Xi’an710061;2.DepartmentofAnesthesiology,theSecondAffiliatedHospital,Xi’an710004;3.DepartmentofGeneralSurgery,theFirstAffiliatedHospital;4.DepartmentofHepatobiliarySurgery,theFirstAffiliatedHospital,Xi’an710061,China)ABSTRACT:ObjectiveToinvesti
7、gatetheeffectsofpostoperativemultimodalanalgesiawithdezocineandflurblprofenonpostoperativeanalgesiaandcellularimmunefunctioninpatientsafterradicalgastriccancersurgery.MethodsFortypatients(ASAIorⅡgrade)withgastriccancerundergoingradicalgastrectomyintotalin
8、travenousanesthesiawererandomlydividedintotwogroups.Thepostoperativeanalgesicsweredezocineandflurblprofen(groupDF)orfentanil(groupF):groupDFPCIAwithdezocine30mg+flurblprofen150mg;groupFPCIAwithfentanyl0.01mg/(d·kg).
此文档下载收益归作者所有