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不同麻醉方法对胸腔镜手术单肺通气时应激状态的影响 被引量:4

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摘要 目的:讨论两种不同麻醉方法对胸腔镜手术单肺通气时应激状态以及炎症介质间的作用。方法:选择施行胸腔镜手术患者30例平均分为两组(n=15),即单纯全身麻醉组(D组)和全麻复合胸段硬膜外阻滞组(S组),测定两组患者术前(T0),侧卧位后的单肺通气15min(T1),单肺通气30min(T2),单肺通气60min(T3)四个时间点的血清中IL-8,IL-10浓度。结果:对比两组,全麻复合胸段硬膜外阻滞组IL-8表达明显降低(P<0.01),IL-10表达明显增加(P<0.01)。结论:全麻复合胸段硬膜外阻滞对比单纯全身麻醉显示出了良好的安全性,在应激反应的控制方面显著优于后者,尤其是对于胸腔镜这类微创手术患者,能够起到保持机体稳定,改善预后等作用,值得临床广泛推广应用。
出处 《黑龙江医药科学》 2014年第2期112-113,共2页 Heilongjiang Medicine and Pharmacy
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同被引文献34

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