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右美托咪定和地佐辛在全麻下行肺癌手术患者中的应用效果及对其恢复时间和认知功能的作用分析。

Application Effect of Dexmedetomidine and Dezocine in Patients Undergoing Lung Cancer Surgery under General Anesthesia and Analysis of Their Roles in Recovery Time and Cognitive Function.

机构信息

Department of Anesthesiology, Fudan University Shanghai Cancer Center, Shanghai 200032, China.

Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.

出版信息

Comput Math Methods Med. 2022 Jun 30;2022:9889534. doi: 10.1155/2022/9889534. eCollection 2022.

Abstract

OBJECTIVE

To explore the application influence of dexmedetomidine (DEX) and dezocine in patients undergoing lung cancer surgery under general anesthesia and analysis of their roles in recovery time and cognitive function.

METHODS

A total of 120 patients who accepted thoracoscopic pulmonary wedge resection in our hospital from November 2021 to April 2022 were selected and randomly divided into group A ( =60) and group B ( =60). DEX combined with dezocine-assisted anesthesia was performed to group A, and the equal dose of normal saline was administered to group B, so as to compare their inflammatory influence level, brain function, arterial blood gas index, and cognitive function.

RESULTS

Compared with group B, group A obtained significantly lower intraoperative and postoperative inflammatory factor levels ( < 0.001), better postoperative brain function and arterial blood gas index ( < 0.001), and lower Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) scores after surgery ( < 0.001). Combining DEX with dezocine-assisted general anesthesia can improve the inflammatory factors level of patients undergoing lung cancer surgery and maintain their brain function and oxygen saturation, so that they have better postoperative cognitive function. Therefore, such anesthesia modality should be promoted in practice.

摘要

目的

探讨右美托咪定(DEX)和地佐辛在全麻下行肺癌手术患者中的应用影响,并分析其对恢复时间和认知功能的作用。

方法

选取 2021 年 11 月至 2022 年 4 月在我院接受胸腔镜肺楔形切除术的 120 例患者,随机分为 A 组(n=60)和 B 组(n=60)。A 组采用 DEX 联合地佐辛辅助麻醉,B 组给予等量生理盐水,比较两组患者的炎症影响水平、脑功能、动脉血气指标和认知功能。

结果

与 B 组相比,A 组术中及术后炎症因子水平显著降低(<0.001),术后脑功能和动脉血气指数更好(<0.001),术后洛文斯顿作业疗法认知评估(LOTCA)评分更低(<0.001)。DEX 联合地佐辛辅助全麻可改善肺癌手术患者的炎症因子水平,维持脑功能和氧饱和度,使患者术后认知功能更好。因此,这种麻醉方式应在实践中推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ce/9262508/c69b15ed8855/CMMM2022-9889534.001.jpg

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