首页|不同时机注射氟比洛芬酯辅助治疗结肠癌根治术患者的效果对比

不同时机注射氟比洛芬酯辅助治疗结肠癌根治术患者的效果对比

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目的:探讨术前静脉注射氟比洛芬酯(FA)对结肠癌根治术患者术后免疫功能的影响.方法:选取我院2021年3月—2023 年 1 月收治的 90 例结肠癌根治术患者,按照FA给药时机的不同将其分为3 组,每组 30 例.A组术前给药,B组术中给药,C组术后给药,比较三组镇痛效果、免疫功能、不良反应、并发症发生率以及肿瘤复发情况.结果:T1时,A组疼痛评分均低于B、C组(P<0.05),但三组T2、T3、T4 时疼痛评分比较,差异无统计学意义(P>0.05);T2 时,三组CD4+、CD4+/CD8+水平均较T0 时降低,但A组高于B、C组(P<0.05),三组T3、T4 时CD4+、CD4+/CD8+水平呈现上升趋势,且A组高于B、C组(P<0.05);三组不良反应发生率、并发症发生率、肿瘤复发发生率比较,差异无统计学意义(P>0.05).结论:术前静注FA镇痛效果较好,对结肠癌根治术患者术后免疫功能具有保护作用,且不会增加不良反应和并发症.
Comparison of the Effects of Flurbiprofen Axetil Injection at Different Times in the Adjuvant Treatment of Patients Undergoing Radical Resection of Colon Cancer
Objective:To investigate the effect of preoperative intravenous injection of flurbiprofen axetil(FA)on postoperative immune function in patients undergoing radical resection of colon cancer.Methods:A total of 90 patients with radical resection of colon cancer admitted to our hospital from March 2021 to January 2023 were selected and divided into three groups according to the timing of FA administration,with 30 patients in each group.Group A was administered before operation,group B was administered during operation,and group C was administered after operation.The analgesic effect,immune function,adverse reaction,complication rate and tumor recurrence were compared among the three groups.Results:At T1,the pain score of group A was lower than that of group B and group C(P<0.05),but there was no significant difference in pain scores among the three groups at T2,T3 and T4(P>0.05).At T2,the levels of CD4+and CD4+/CD8+in the three groups were lower than those at T0,but those in group A were higher than those in group B and group C(P<0.05).At T3 and T4,the levels of CD4+and CD4+/CD8+in the three groups showed an upward trend,and those in group A were higher than those in group B and group C(P<0.05).There was no significant difference in the incidence of adverse reactions,complications and tumor recurrence among the three groups(P>0.05).Conclusion:Preoperative intravenous injection of FA has a good analgesic effect,which has a protective effect on postoperative immune function in patients undergoing radical resection of colon cancer,and will not increase adverse reactions and complications.

Flurbiprofen axetilRadical resection of colon cancerImmune functionAnalgesic effect

贾隽文、胡耀月、郑伟、韩继成

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牡丹江医学院附属红旗医院,黑龙江 牡丹江 157009

氟比洛芬酯 结肠癌根治术 免疫功能 镇痛效果

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(8)