Abstract:
Objective: To investigate the influence of flurbiprofen on cytokines tumor necrosis factor-α (TNF-α),and interleukin-6 (IL-6) in children undergoing cardiopulmonary bypass (CPB).
Methods: In this pilot, prospective, and randomized double-blinded study,twenty children with cardiac function classⅠ-Ⅱ scheduled for repairing ventricular septal defect were divided into two groups:children in flurbiprofen group (F group,
n=10) were received 1 mg/kg flurbiprofen 15 min before skin incision and children in control group (C group,
n=10) were received 0.1 ml/kg intralipid instead of flurbiprofen. Blood samples were taken 10 min before skin incision (T
1),10 min after aorta declamped (T
2), 30 min (T
3), 4 h (T
4), 24 h (T
5), 48 h (T
6) after termination of CPB for determination of plasma TNF-α and IL-6 concentration.
Results: The plasma TNF-α levels was higher at T
3 and T
5 compared to baseline (
P < 0.05-
P < 0.01),but F group was lower than in C group at T
3 (
P < 0.01). IL-6 was higher during T
2-T
6 in C group (
P < 0.05-
P < 0.01) compared to T
1,but F group was lower than C group at T
2,T
3 and T
6 (
P < 0.01).
Conclusions: Flurbiprofen is effective for reducing CPB-induced inflammatory response and it is benefitful for maintaining stability of circulation.