Objective:To study the effect of sevoflurane pretreatment before one-lung ventilation on pulmonary compliance, oxygenation function and systemic inflammatory response.Methods:104 patients who accepted one-lung ventila...Objective:To study the effect of sevoflurane pretreatment before one-lung ventilation on pulmonary compliance, oxygenation function and systemic inflammatory response.Methods:104 patients who accepted one-lung ventilation operation in Mianyang Central Hospital between April 2014 and December 2015 were selected and randomly divided into the sevoflurane group who accepted sevoflurane pretreatment combined with routine anesthesia and the control group who accepted routine anesthesia, and the pulmonary compliance and oxygenation function parameters during one-lung ventilation as well as the contents of inflammatory mediators in serum and the contents of inflammation regulation molecules in alveolar lavage fluid were determined.Results: At T1, T2 and T3, Cdyn and PaO2/FiO2 levels of sevoflurane group were significantly higher than those of control group, and serum ICAM-1, IL-6, IL-8 and TNF-α contents were significantly lower than those of control group while IL-10 contents were significantly higher than those of control group;after operation, AQP-1, p38MAPK, TLR4 and NF-κB contents in collapsed alveolar lavage fluid of sevoflurane group were significantly lower than those of control group.Conclusion: Sevoflurane pretreatment before one-lung ventilation can improve the pulmonary compliance and oxygenation function, and inhibit the activation of inflammatory response.展开更多
文摘Objective:To study the effect of sevoflurane pretreatment before one-lung ventilation on pulmonary compliance, oxygenation function and systemic inflammatory response.Methods:104 patients who accepted one-lung ventilation operation in Mianyang Central Hospital between April 2014 and December 2015 were selected and randomly divided into the sevoflurane group who accepted sevoflurane pretreatment combined with routine anesthesia and the control group who accepted routine anesthesia, and the pulmonary compliance and oxygenation function parameters during one-lung ventilation as well as the contents of inflammatory mediators in serum and the contents of inflammation regulation molecules in alveolar lavage fluid were determined.Results: At T1, T2 and T3, Cdyn and PaO2/FiO2 levels of sevoflurane group were significantly higher than those of control group, and serum ICAM-1, IL-6, IL-8 and TNF-α contents were significantly lower than those of control group while IL-10 contents were significantly higher than those of control group;after operation, AQP-1, p38MAPK, TLR4 and NF-κB contents in collapsed alveolar lavage fluid of sevoflurane group were significantly lower than those of control group.Conclusion: Sevoflurane pretreatment before one-lung ventilation can improve the pulmonary compliance and oxygenation function, and inhibit the activation of inflammatory response.
