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腹式子宫切除术中手术应激时的血清脂过氧化物水平

Serum lipoperoxide levels in surgical stress of abdominal hysterectomy.

作者信息

Sane A S, Chokshi S A, Mishra V V, Barad D P, Shah V C, Nagpal S

机构信息

Department of Biochemistry, B.J. Medical College, Ahmedabad, India.

出版信息

Panminerva Med. 1993 Sep;35(3):131-3.

PMID:8090526
Abstract

In continuation of our studies on stress situations in female reproductive life span, serum lipid peroxide levels in terms of malondialdehyde (nmol/ml) have been determined in females [(n = 40) (aged between 35-40 years)] to undergo total abdominal hysterectomy (due to dysfunctional uterine bleeding). There occurred a statistically significant though within physiological limits, progressive rise in serum lipid peroxide levels right from preoperative stage 3.51, per operatively 3.56 to a maximum of 4.10 postoperative stage I with a tendency of fall at postoperative stage II 3.94 in comparison with self control on admission 2.97. It is suggestive of the balancing and protective role of scavenging enzyme system like superoxide dismutase also backed by improvement in health status of abdominal hysterectomy patients in terms of ambulation, free intake of food and behavioural positive attitude within 24 hours following operation presumably due to relief from stress of DUB. It is felt from the results of the present investigation that patients undergoing abdominal hysterectomy were free from free radical toxicity.

摘要

在我们对女性生殖寿命期间应激情况的研究中,已对因功能失调性子宫出血而接受全腹子宫切除术的40名35至40岁女性测定了以丙二醛(nmol/ml)表示的血清脂质过氧化物水平。血清脂质过氧化物水平从术前阶段的3.51、术中的3.56,到术后I期最高达到4.10,尽管处于生理范围内,但出现了统计学上显著的逐渐上升,与入院时自身对照值2.97相比,术后II期有下降趋势,降至3.94。这提示了超氧化物歧化酶等清除酶系统的平衡和保护作用,这也得到了腹式子宫切除患者在术后24小时内行走、自由进食和行为积极态度方面健康状况改善的支持,这可能是由于功能失调性子宫出血的应激得到缓解。从本次调查结果来看,接受腹式子宫切除术的患者没有自由基毒性。

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