Guan Lili, Huan-Huan Wang, Xiuli Zhang, Hongsheng Zhang, Jing Li
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引用次数: 0
摘要
目的探讨右美托咪定联合舒芬太尼术后镇痛对肺癌患者肺部感染并发症及免疫功能的影响。方法选取2014年7月至2018年6月在我院接受根治性肺癌治疗的肺癌患者200例,按随机数字表法随机分为A组(n=100,采用舒芬太尼镇痛)和B组(n=100,采用舒芬太尼联合右美托咪定镇痛)。比较两组镇痛效果、肺部并发症发生率及免疫功能。结果B组在术后4、8、12、24 h的镇痛、镇静效果均优于A组(P < 0.05)。B组术后1 d CD3+、CD4+、CD8+及CD4+ /CD8+细胞水平均高于A组(t=7.419、7.867、11.968、8.755,P=0.000)。结论右美托咪定术后联合舒芬太尼镇痛不仅有助于降低肺癌根治性手术患者肺部并发症的发生率,而且能提高患者的镇痛效果和免疫功能。关键词:肺肿瘤;Dexmedetomidine;舒芬太尼;麻醉与镇痛
Effects of postoperative analgesia with Dexmedetomidine combined with Sufentanil on the immune function and complications of pulmonary infection in patients with lung cancer
Objective
To investigate the effects of postoperative analgesia with Dexmedetomidine combined with Sufentanil on pulmonary infection complications and immune function in patients with lung cancer.
Methods
A total of 200 patients with lung cancer who underwent radical lung cancer in our hospital from July 2014 to June 2018 were randomly divided into the group A(n=100, receiving Sufentanil analgesia)and group B(n=100, receiving Sufentanil combined with Dexmedetomidine analgesia)according to the random number table method.The analgesic effect, pulmonary complication incidence and immune function were compared between the two groups.
Results
The analgesic and sedative effects were better in the group B than in the group A at 4, 8, 12 and 24 hours after surgery, respectively(P 0.05). The levels of CD3+, CD4+, CD8+ and CD4+ /CD8+ cells were higher in group B than in group A at 1 day after surgery(t=7.419, 7.867, 11.968 and 8.755, P=0.000).
Conclusions
Postoperative Dexmedetomidine combined with Sufentanil analgesia not only helps to reduce the incidence of pulmonary complications, but also improves the analgesic effect and immune function in patients with lung cancer undergoing radical surgery.
Key words:
Lung neoplasms; Dexmedetomidine; Sufentanil; Anesthesia and analgesia