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盐酸戊乙奎醚对心肺转流患者肠损伤和炎性因子的影响
引用本文:张丽丽,孙莹杰,张铁铮.盐酸戊乙奎醚对心肺转流患者肠损伤和炎性因子的影响[J].临床麻醉学杂志,2011,27(4).
作者姓名:张丽丽  孙莹杰  张铁铮
作者单位:1. 松原市同心医院麻醉科
2. 沈阳军区总医院麻醉科,110016
摘    要:目的 探讨盐酸戊乙奎醚对心肺转流(CPB)患者肠损伤和炎性因子的影响.方法 40例ASA Ⅱ或Ⅲ级心瓣膜置换术患者,随机均分为盐酸戊乙奎醚组(P组)和对照组(C组),分别在CPB前10 min颈内静脉注射盐酸戊乙奎醚0.05 mg/kg或等容量生理盐水.分别于CPB前(T1)、主动脉开放10 min(T2)、停CPB即刻(T3)、术后2 h(T4)、6 h(T5)、18 h(T6)采取中心静脉血,应用ELISA法检测血清肠型脂肪酸结合蛋白(I-FABP)、白细胞介素-6 (IL-6)、白细胞介素-10(IL-10)浓度.结果 与T1时比较,T2~T6时两组I-FABP、IL-6和IL-10浓度均显著升高(P<0.05).T2、T4、T5时P组I-FABP浓度显著低于C组,T4、T5时IL-6浓度亦显著低于C组(P<0.05).结论 盐酸戊乙奎醚0.05 mg/kg可减轻患者肠损伤和炎性因子的释放.

关 键 词:盐酸戊乙奎醚  心肺转流  肠损伤  血清肠型脂肪酸结合蛋白  细胞活素类

Effect of penehyclidine hydrochloride on gut injury and cytokines during cardiopulmonary bypass in patients undergoing open heart surgery
ZHANG Li-li,SUN Ying-jie,ZHANG Tie-zheng.Effect of penehyclidine hydrochloride on gut injury and cytokines during cardiopulmonary bypass in patients undergoing open heart surgery[J].The Journal of Clinical Anesthesiology,2011,27(4).
Authors:ZHANG Li-li  SUN Ying-jie  ZHANG Tie-zheng
Institution:ZHANG Li-li,SUN Ying-jie,ZHANG Tie-zheng.Department of Anesthesiology,General Hospital of Shenyang Military Region,Shenyang 110016,China
Abstract:Objective To observe the effect of penehyclidine hydrochloride on gut injury and cytokines during cardiopulmonary bypass in patients undergoing open heart surgery.Methods Forty patients undergoing heart valve replacement with cardiopulmonary bypass were randomly divided into two groups with 20 cases each: penehyclidine group(group P)and control group(group C) respectively.Patients in group P were injected PHC 0.05 mg/kg before CPB 10 mins from the internal jugular vein,patients in group C were injected the ...
Keywords:Penehyclidine hydrochloride  Cardiopulmonary bypass  Gut injury  Plasma I-FABP  Cytokines  
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