地佐辛对腹腔镜下子宫肌瘤切除术患者相关血浆水平的影响
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The influence of dizocine on plasma cortisol and noradrenaline and interleukin 6 levels with laparoscopic uterine myomectomy
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    摘要:

    【摘要】 目的 探讨地佐辛对腹腔镜下子宫肌瘤切除术患者血浆皮质醇(Cor)、去甲肾上腺素(NE)和白细胞介素6(IL6)水平的影响。方法 选取2014年7月~2016年7月入院行腹腔镜下子宫肌瘤切除术患者106例,分为对照组与研究组各53例,对照组行常规麻醉,研究组给予地佐辛麻醉,比较两组患者Cor、NE、IL6、超氧化物歧化酶(SOD)及丙二醇(MDA)水平,及免疫功能、视觉模拟评分(VAS)、苏醒时间、拔管时间和不良反应。结果 两组患者术后Cor、NE、IL6水平相比较,研究组明显低于对照组,差异有统计学意义(P<005);研究组SOD明显高于对照组(P<005);研究组MDA明显低于对照组, 两组比较差异有统计学意义(P<005);研究组免疫功能优于对照组(P<005);研究组苏醒时间、拔管时间和不良反应率均低于对照组(P<005)。结论 地佐辛可明显降低腹腔镜下子宫肌瘤切除术患者血浆Cor、NE、IL6水平,并改善免疫功能、减少苏醒时间和拔管时间,降低不良反应率。可在临床推广应用。

    Abstract:

    【Abstract】 Objective To research the influence of dizocine on plasma cortisol (Cor), noradrenaline (NE) and interleukin6 (IL6) levels with laparoscopic uterine myomectomy. Methods 106 laparoscopic hysteromyoma resection patients were divided into control group and research. The control group was treated with conventional anesthesia. The research group was treated with dizocine for anesthesia. Cor, NE, IL6, superoxide dismutase (SOD) and propylene glycol (MDA), immune function, visual analogue scale (VAS), the awaken time and extubation time and adverse reactions were observed. Results Postoperatively, Cor, NE, IL6 levels of research group were lower than that of the control group. The difference was statistically significant (P<005). SOD of research group was higher than that of the control group. MDA of research group was lower than the control group. The difference was statistically significant ( P<005). The immune function of research group was better than that of control group (P<005). The awaken time and extubation time of research group was less than that of the control group (P<005). The adverse reaction rate of research group was lower than that of the control group (P<005). Conclusion Dexacin reduced the levels of plasma Cor, NE and IL6 levels in patients laparoscopic uterine myomectomy.

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  • 在线发布日期: 2018-03-05
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