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右美托咪啶联合帕瑞昔布钠在单肺通气肺叶切除术中的应用 被引量:3
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作者 陶广华 刘向六 +5 位作者 罗伟 张文龙 刘文值 朱月浩 李泉霖 邓义江 《检验医学与临床》 CAS 2016年第23期3348-3351,共4页
目的探讨右美托咪啶联合帕瑞昔布钠对单肺通气肺叶切除术患者肺部炎性反应的影响。方法选择行单肺通气肺叶切除术的患者80例,采用随机双盲法分为右美托咪啶组(D组,n=20),帕瑞昔布钠组(P组,n=20),右美托咪啶联合帕瑞昔布钠组(D+P组,n=20)... 目的探讨右美托咪啶联合帕瑞昔布钠对单肺通气肺叶切除术患者肺部炎性反应的影响。方法选择行单肺通气肺叶切除术的患者80例,采用随机双盲法分为右美托咪啶组(D组,n=20),帕瑞昔布钠组(P组,n=20),右美托咪啶联合帕瑞昔布钠组(D+P组,n=20),生理盐水对照组(N组,n=20)。各组分别以生理盐水、右美托咪啶、帕瑞昔布钠及右美托咪啶与帕瑞昔布钠联合处理,取患者外周静脉血,采用酶联免疫吸附试验检测不同时点白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、环氧化酶-2(COX-2)、活性氧(ROS)水平;取桡动脉血行血气分析,比较血氧分压(PaO_2)、二氧化碳分压(PaCO_2)及氧合指数;记录术后12h和24h的VAS疼痛评分及镇痛药物剂量。结果 D+P组患者术中炎性因子较其他组表达明显降低,且D组与P组小于N组,差异有统计学意义(P<0.05);血气分析提示D+P组PaO_2及氧合指数较N组增高,PaCO_2则降低,P组及D组差异无统计学意义(P>0.05);术后VAS评分及24h曲马多用量比较,D+P组VAS评分最低,曲马多用量最少,较N组均有显著降低,差异有统计学意义(P<0.05)。结论右美托咪啶联合帕瑞昔布钠能降低单肺通气肺叶切除术患者术中肺部炎性反应,改善氧合功能,降低术后镇痛药物使用剂量。 展开更多
关键词 右美托咪啶 帕瑞昔布钠 单肺通气 肺叶切除术 肺部炎性反应
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REFLUX ESOPHAGITIS AND AIRWAY HYPERRESPONSIVENESS 被引量:1
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作者 宋一平 李国顺 《Chinese Medical Sciences Journal》 CAS CSCD 1997年第4期248-251,共4页
Objectives’ To observe the effects of reflux esophagitis(RE) on the lung function and alrway reactivity,and study the mechanism of airway hyperresponsiveness(AHR) in patients with RE.Methods. Lung function measuremen... Objectives’ To observe the effects of reflux esophagitis(RE) on the lung function and alrway reactivity,and study the mechanism of airway hyperresponsiveness(AHR) in patients with RE.Methods. Lung function measurements and airway provocation tests were performed in 31 RE patientsand 35 control subjects’ TXB, and PGF,. were determined in 20 cases of each group.Results. In RE patients the lung function was lower and the rate of AHR was higher than control sub-jects (P<0. 05). Among RE patients 25 % had higher airway sensitivity (Dminr 3u ). The TXB2 of REpatients with AHR was higher than those without AHR’ Dmin correlated significantly with TXB2 (r=0. 653, P<0. 05).Concluswhs’ RE could damage the lung function. The rate of AHR was 61 %, the high airway sensltivity was probably potential asthma, and TXB2 may play a role in the pathogenesis of AHR. 展开更多
关键词 reflux esophagitis lung function airway hyperresponsiveness
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