| 手术应激反应的监测与调控 |
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| 引用本文： | 高珊,;李伟彦.手术应激反应的监测与调控[J].医学综述,2014(11):2011-2013. |
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| 作者姓名： | 高珊 ;李伟彦 |
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| 作者单位： | [1]南方医科大学南京临床医学院,南京210002; [2]南京军区南京总医院麻醉科,南京210002 |
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| 摘 要： | 手术可引起机体发生以交感神经兴奋和下丘脑-垂体-肾上腺皮质轴分泌为主的一系列神经、体液、内分泌、免疫功能的变化,进而产生应激反应。适度的应激反应能调节全身适应性改变,抵抗有害刺激,而过度的应激反应则造成一系列病理生理改变,影响患者预后。加强术中应激反应的监测,合理地调控应激反应,可以改善患者术后转归。
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| 关 键 词： | 应激 监测 调控 |
Monitoring and Regulation of Surgical Stress Response |
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| Institution: | GAO Shan ,LI Wei-yan ( 1. Nanjing Clinical School of Southern Medical University,Nanjing 210002, China; 2. Department of Anesthesiology,Nanjing General Hospital of Nanjing Military Command,Nanjing 210002,China) |
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| Abstract: | Surgery can cause a series of neural and humoral , endocrine and immune changes which are mainly triggered by sympathetic nerve and hypothalamus-pituitary-adrenal axis secretion. Moderate stress response helps to mobilize the body adaption to resist harmful stimulation, and series of pathophysiologieal changes can cause excessive stress response, which impacts the prognosis. Strengthening the monitoring of stress response and rational regulation of the stress response can improve the outcomes of the patients. |
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| Keywords: | Stress： Monitoring： Regulation |
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