右美托咪定对腹腔镜胆囊切除术围术期氧化应激的影响

    Effect of dexmedetomidine on preoperative oxidative stress caused by laparoscopic cholecystectomy

    • 摘要: 目的:探讨右美托咪定对腹腔镜胆囊切除术围术期氧化应激的影响。方法:选择2012年3月至2013年6月行腹腔镜胆囊切除术患者80例,随机分为右美托咪定组(D组)和对照组(C组),各40例。D组和C组分别于麻醉诱导后持续静脉输注右美托咪定和等体积0.9%氯化钠注射液。检测2组患者术前(T0)、开气腹即刻(T1)、术毕(T2)及术后24 h(T3)血清丙二醛(MDA)、超氧化物歧化酶(SOD)和活性氧簇(ROS)水平。结果:2组患者围术期血压和心率变化差异均无统计学意义(P>0.05);2组患者T1、T2、T3的MDA、ROS水平均较T0明显增高(P<0.01),而SOD则均较T0明显降低(P<0.01);D组T1、T2、T3的MDA、SOD和ROS水平均较C组显著降低(P<0.01)。结论:持续输注右美托咪定可减轻腹腔镜胆囊切除术围术期氧化应激反应。

       

      Abstract: Objective: To investigate the effects of dexmedetomidine(DEX) on preoperative oxidative stress caused by laparoscopic cholecystectomy. Methods: Eighty patients scheduled for laparoscopic cholecystectomy in our hospital from Mar. 2012 to Jun. 2013 were randomly divided into the DEX group(D group) and control group(C group)(40 cases each group). The D and C groups were intravenously and continuously infused using DEX and isovolume normal saline after anesthesia induction. The serum levels of MDA, SOD and ROS in two groups before operation(T0), at the moment of opening pneumoperitoneum(T1), at the end of operation(T2) and after 24 h of operation(T3) were measured. Results: The differences of the preoperative blood pressure and heart rate change between two groups were not statistical significance(P>0.05). Compared with T0, the serum levels of MDA and ROS, and level of SOD at T1, T2, T3 in two groups were singificantly higher and lower, respectively(P<0.01). The levels of MDA, SOD and ROS at T1, T2 and T3 in D group were significantly lower than those in C group(P<0.01). Conclusions: Continuously intravenous injection of dexmedetomidine can effectively alleviate the preoperative oxidative stress caused by laparoscopic cholecystectomy.

       

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