Effects of Perioperative Pain Intervention on Postoperative Rehabilitation of Patients with Partial Resection of Lung Cancer

Objective: To explore the effect of perioperative pain intervention on postoperative rehabilitation of patients who underwent thoracoscopic partial resection of lung cancer. Methods: From January 2021 to May 2021, 100 patients with primary lung cancer who underwent thoracoscopic partial lung resection in Cardiopulmonary Department II of Cancer Center in our hospital were selected. They were divided into observation group and control group by random number table. Routine nursing after surgery was used in both groups, the observation group was given perioperative pain intervention nursing on the basis of routine nursing, and the postoperative pain (6 h, 12 h, 24 h, 48 h after operation), the rate of out-of-bed activity within 24 h after operation, lien chest tube time, the incidence of postoperative complications, the influence of pain on daily life, the satisfaction of patients with pain control methods and pain education and the satisfaction of discharged patients were observed and recorded. Results: There was no significant difference in general data (age, sex, educational level, course of disease, TNM stage of lung cancer, maximum diameter of tumor (CM), surgical site) between the two groups (P > 0.05);the NRS scores of the observation group at 6, 12, 24 and 48 hours after operation were all lower than those in the control group, and the difference was statistically significant (P < 0.05);after operation, the rate of 24 h out-of-bed activity in the observation group was higher than that in the control group, the lien chest tube time was shorter than the control group, and the incidence of postoperative complications was lower than that in the control group, the difference was statistically significant (P < 0.05);after operation, the effect level of pain in the observation group was lower than that in the control group, and the satisfaction of pain health education, pain control methods and discharged patients was higher than that in the control group, with statistical significance (P < 0.05). Conclusion: Perioperative pain intervention can effectively relieve postoperative pain state of patients, promote patients’ early out of bed and conducive to lung expansion, shorten the time of lien chest tube, reduce postoperative complications and the impact of pain on daily life, help patients recover as soon as possible, and improve the satisfaction of patients for medical treatment.

Effects of Honeysuckle Chlorogenic Acid on Secretory Enzymes,Lipoxygenase A4,and Biochemical Indicators inModel Mice with Aluminum Induced Alzheimer's Disease

[Objectives]To explore the effects of chlorogenic acid from honeysuckle on the secretion enzymes,lipoxygenase A4(LXA4),and blood biochemical indicators in mice with aluminum induced Alzheimer's disease(AD).[Methods]Chlorogenic acid was extracted from hon-eysuckle by ultrasound assisted alcohol extraction method.Seventy mice were randomly divided into normal group,model group,and low,me-dium and high dose groups of honeysuckle chlorogenic acid.All the mice in each group except for the normal group were given maltol aluminum by intraperitoneal injection to establish models of aluminum induced AD,continuously injected for 5 d and stopped for 2 d,totally poisoned for 8 weeks.Starting from the 5^(th) week of poisoning,the low,medium and high dose groups of honeysuckle chlorogenic acid were given honeysuck-le chlorogenc acid solution 40,80 and 160 mg/kg by gavage,respectively,while the normal group and the model group were fed with an equal volume of distilled water,all once daily,continuously gavaged until the end of the 8^(th) week.At the end of the experiment,the learning memory ability of the mice was tested by Y-type waler maze,and the number of tests required to reach the learning standard,the number of memory er-rors in 20 tests and the error rate of the mice were recorded.The brains of mice were taken to determine the contents of β-secretase,α-secre-tase,γ-secretase,LXA4 and acetylcholinesterase(AchE)in the homogenates of brain tissues by ELISA,and their blood was taken to deter-mine the biochemical indexes.[Results]Compared with the normal group,the number of learning tests,number of memory errors,error rate and the contents of β-secretase,γ-secretase and AchE in brain tissue of the mice in the model group were all significantly increased(all P<0.05),the contents of LXA4 in brain tissue were significantly decreased(all P<0.05),and the contents of α-secretase did not change significantly(all P>0.05);compared with the model group,the number of learning tests,the number of memory errors,the error rate and the content of β-secretase,γ-secretase and AchE in brain tissue were all significantly reduced(all P<0.05),the content of LXA4 in brain tissue of the high dose group of honeysuckle chlorogenic acid was significantly increased(P<0.05),and there was no significant change in the content of α-secretase in brain tissue of all groups of honeysuckle chlorogenic acid(all P>0.05).Compared with the normal group,the levels of blood glucose,TC,TG,ALT,BUN,Cr and UA in the model group and the levels of TC,TG and BUN in the low-and medium-dose groups of honeysuckle chlorogenic acid were significantly increased(all P<0.05),and the level of HDL-C in the model group and the levels of UA in the medium-and high-dose groups of honeysuckle chlorogenic acid were significantly decreased(all P<0.05);compared with the model group,the levels of blood glucose,ALT,BUN,UA in each group of honeysuckle chlorogenic acid,the levels of TC and Cr in medium and high dose groups of honeysuckle chlorogenic acid,and the level of TG in the high dose group of honeysuckle chlorogenic acid were all signifi-cantly lower(all P<0.05),while the level of HDL-C in the medium and high dose groups of honeysuckle chlorogenic acid and the level of to-tal protein in the high dose group of honeysuckle chlorogenic acid were all significantly higher(all P<0.05).[Conclusions]Chlorogenic acid from honeysuckle may improve AD induced by aluminum exposure via regulating related secretory enzymes,LXA4,and various biochemi-cal indicators.