首页|乌司他丁对腹腔镜结直肠癌根治术患者术后免疫功能的影响研究

乌司他丁对腹腔镜结直肠癌根治术患者术后免疫功能的影响研究

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目的 探讨乌司他丁对腹腔镜结直肠癌根治术患者术后免疫功能的影响.方法 80 例行腹腔镜结直肠癌根治术治疗的结直肠癌患者作为研究对象,以投掷硬币法作为治疗研究分组依据,分为参照组及研究组,各 40 例.其中,参照组术前未施以任何药物治疗,研究组术前施以乌司他丁治疗.比较两组患者CD3+、CD3+CD8+、CD3+CD4+、CD4/CD8 水平及术后并发症总发生率.结果 研究组患者CD3+(72.25±2.52)%、CD3+CD8+(19.58±2.52)%、CD3+CD4+(50.25±2.52)%、CD4/CD8(2.58±0.25)同参照组的(45.39±2.52)%、(13.29±1.27)%、(20.25±3.12)%、(0.52±0.13)比较显著提升(P<0.05).研究组 40 例患者中,发生感染患者 1 例,发生出血患者 1 例,总并发症为 2 例(5.00%);参照组 40 例患者中,发生感染患者 2 例,发生出血患者 2 例,总并发症为 4 例(10.00%);研究组患者术后并发症总发生率同参照组比较,结果未呈现出明显差异(P>0.05).结论 行腹腔镜结直肠癌根治术治疗的结直肠癌患者术前应用乌司他丁,可将患者CD3+、CD3+CD8+、CD3+CD4+、CD4/CD8 水平显著提高,并且不会导致术后感染、出血的增加,可促进患者预后恢复.
Study on effect of ulinastatin on postoperative immune function in patients undergoing laparoscopic radical resection for colorectal cancer
Objective To explore the effect of ulinastatin on postoperative immune function in patients undergoing laparoscopic radical resection for colorectal cancer.Methods 80 patients with colorectal cancer who underwent laparoscopic radical resection for colorectal cancer were selected as the study subjects,and they were divided into a reference group and a study group according to the coin-tossing method,with 40 cases in each group.The reference group did not receive any drug treatment before surgery,and the study group received ulinastatin treatment before surgery.The CD3+,CD3+CD8+,CD3+CD4+,CD4/CD8 and total incidence of postoperative complications were compared between the two groups.Results The study group had CD3+ of(72.25±2.52)%,CD3+CD8+ of(19.58±2.52)%,CD3+CD4+ of(50.25±2.52)%,and CD4/CD8 of(2.58±0.25),which were significantly higher than(45.39±2.52)%,(13.29±1.27)%,(20.25±3.12)%,and(0.52±0.13)in the reference group(P<0.05).Among the 40 patients in the study group,1 case had infection and 1 case had hemorrhage,and the total number of complications was 2 cases(5.00%).Among the 40 patients in the reference group,2 cases had infection and 2 cases had hemorrhage,and the total number of complications was 4 cases(10.00%).The total incidence of postoperative complications in the study group was not significantly different from that in the reference group(P>0.05).Conclusion The preoperative application of ulinastatin in patients undergoing laparoscopic radical surgery for colorectal cancer can significantly increase their levels of CD3+,CD3+CD8+,CD3+CD4+,and CD4/CD8,without causing an increase in postoperative infection and bleeding,which can promote patients'prognostic recovery.

UlinastatinLaparoscopic radical resection for colorectal cancerColorectal cancerImmune function

金鑫、刘文广、张颖、甘蕾蕾

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277000 枣庄市中医医院外三科

枣庄市中医医院手术室

乌司他丁 腹腔镜结直肠癌根治术 结直肠癌 免疫功能

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(8)
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