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地塞米松对肺癌切除术病人血清过氧化脂质胰岛素皮质醇的影响
引用本文:王天元 马占文. 地塞米松对肺癌切除术病人血清过氧化脂质胰岛素皮质醇的影响[J]. 临床麻醉学杂志, 1996, 12(1): 31-32
作者姓名:王天元 马占文
作者单位:白求恩医科大学第三临床学院麻醉科 邮政编码:130021(王天元,马占文,赵国庆),白求恩医科大学第三临床学院麻醉科 邮政编码:130021(王显春)
摘    要:
40例肺癌切除术病人,随机分为对照(S)组和地塞米松(S-D)组,采用氯胺酮-安氟醚静吸复合麻醉,对血清中过氧化脂质、胰岛素和皮质醇进行了初步观察。结果表明,血清过氧化脂质S-D组于手术毕显著低于S组(P〈0.05);血清胰岛素两组间没有统计学差异;血清皮质醇S-D组于气管插管后显著高于S组(P〈0.05)。作者认为肺癌切除术病人术前给地塞米松可有效地降低血清中过氧化脂质含量,利于维护脏器功能。

关 键 词:肺癌 地塞米松 LOP 胰岛素 皮质醇 麻醉前给药

Effect of Dexamethasone on Serum Lipoperoxides, Insulin and Cortisol in the Patients undergoing Lung Cancer Pneumonectomy
Wang Tian-yuan,et la. Effect of Dexamethasone on Serum Lipoperoxides, Insulin and Cortisol in the Patients undergoing Lung Cancer Pneumonectomy[J]. The Journal of Clinical Anesthesiology, 1996, 12(1): 31-32
Authors:Wang Tian-yuan  et la
Affiliation:Wang Tian-yuan,et laDepartment of anesthesiology,Third Teaching Hospital,Norman Bethune University of Medical Sciences
Abstract:
40 patients with lung cancer undergoing pneumonectomy were randomily divided into control group (group S) and dexamethasone group (group S-D). Serum level of the lipoperoxides,insulin and cortisol were observed during anesthesia. The results indicate that the level of lipoperoxides in group S-D was significantly lower than that in group S by the end of the operation (P<0. 05) ;there were no statistically differences in the level of insulin between two groups, the level of cortisol after intubation in group S-D was higher than that in group S (P<0. 05). The authors consider that dexamethasone can effectively reduce the serum lipoperoxides concentration and might be beneficial to the preservation of the organ functions.
Keywords:Lung cancer Dexamethasone Lipoperoxides Insulin Cortisol
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