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[硬膜外麻醉复合γ-羟基丁酸钠下接受手术的妇科患者肾上腺糖皮质激素功能状态]

[State of the glucocorticoid function of the adrenal glands in gynecological patients operated on under epidural anesthesia balanced with sodium oxybutyrate].

作者信息

Korolev V, Barkhatov V I, Smolianitskiĭ Iu N, Shershnev V N

出版信息

Vestn Khir Im I I Grek. 1979 May;122(5):117-20.

PMID:452262
Abstract

The alterations of hydrocortisone concentration in the blood serum have been studied in 29 gynecological patients. Epidural anesthesia combined with sodium hydroxybutyrate surface anesthesia prevents an unnecessary activation of the hypothalamo-pituitary-adrenal system. A sedative effect of sodium hydroxybutyrate favours the elimination of emotional stress in patients. The preservation of an adequate and not excessive adrenocortical response to the surgical trauma has been noted as well.

摘要

对29例妇科患者血清中氢化可的松浓度的变化进行了研究。硬膜外麻醉联合羟丁酸钠表面麻醉可防止下丘脑-垂体-肾上腺系统不必要的激活。羟丁酸钠的镇静作用有助于消除患者的情绪应激。还注意到对手术创伤保持了适当而非过度的肾上腺皮质反应。

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