首页|右美托咪定在卵巢癌分期手术患者全身麻醉中的应用效果

右美托咪定在卵巢癌分期手术患者全身麻醉中的应用效果

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目的 分析右美托咪定在卵巢癌分期手术患者全身麻醉中的应用效果.方法 选择2022年6月至2023年12月医院收治的90例卵巢癌分期手术患者,按随机投掷法分为观察组(给予右美托咪定)与对照组(给予生理盐水).比较两组不同麻醉时间炎症因子水平、T淋巴细胞亚群及不良反应.结果 T0,两组白细胞介素-1β、白细胞介素-6、肿瘤坏死因子-α及超敏C反应蛋白对比,P>0.05;T1、T2,两组以上炎症因子水平均降低,且观察组均低于对照组,P<0.05.T0,两组CD3+、CD4+、CD8+及CD4+/CD8+对比,P>0.05;T1、T2,两组以上T淋巴细胞亚群均升高,且观察组均高于对照组,P<0.05.两组不良反应发生率对比,P>0.05.结论 右美托咪定在卵巢癌分期手术患者全身麻醉中的应用效果显著、安全性高,可减轻炎症反应,有效提高T淋巴细胞亚群,改善患者免疫功能.
Effect ofDexmedetomidine on General Anesthesia in Patients Undergoing Staging Surgery for Ovarian Cancer
Objective:To Objective to analyze the effect of dexmedetomidine in general anesthesia for patients under-going staged ovarian cancer surgery.Methods:From June 2022 to December 2023,90 patients with ovarian cancer undergoing staged surgery were selected and randomly divided into observation group(given dexmedetomidine)and control group(given normal saline).The levels of inflammatory factors、T lymphocyte subsets and adverse reac-tions were compared between the two groups at different anesthesia time.Results:At T0,the levels of IL-1β、IL-6、TNF-α and high-sensitivity C-reactive protein in the two groups were compared,P>0.05;At T1 and T2,the levels of inflammatory factors in both groups decreased,and those in the observation group were lower than those in the control group,P<0.05.T0,the comparison of CD3+、CD4+、CD8+and CD4+/CD8+between the two groups,P>0.05;At T1 and T2,T lymphocyte subsets in both groups increased,and the observation group was higher than the control group,P<0.05.The incidence of adverse reactions between the two groups was compared,P>0.05.Conclusion:Dexmedetomidine is effective and safe in general anesthesia for patients undergoing staged ovarian cancer surgery,which can reduce inflammatory reaction,effectively improve T lymphocyte subsets and improve pa-tients'immune function.

General anesthesiaOvarian cancerInflammatory factorsDexmedetomidineImmune functionAd-verse reactions

胡琼花、卫毅、吕晓

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甘肃省人民医院,甘肃兰州 730000

兰州大学第一医院,甘肃兰州 730000

全身麻醉 卵巢癌 炎症因子 右美托咪定 免疫功能 不良反应

甘肃省科技计划项目

21JR11RA087

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(2)
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