長(zhǎng)期飲酒對(duì)下腹部手術(shù)患者術(shù)中麻醉抗藥及術(shù)后認(rèn)知功能的影響
發(fā)布時(shí)間:2018-04-02 02:21
本文選題:下腹部手術(shù) 切入點(diǎn):長(zhǎng)期飲酒 出處:《海南醫(yī)學(xué)院學(xué)報(bào)》2016年21期
【摘要】:目的:發(fā)現(xiàn)長(zhǎng)期飲酒對(duì)下腹部手術(shù)患者術(shù)中麻醉抗藥及術(shù)后認(rèn)知功能的影響。方法:118例接受下腹部手術(shù)的患者納入研究,分為長(zhǎng)期飲酒組43例,對(duì)照組75例。對(duì)比兩組患者的圍麻醉期血流動(dòng)力學(xué)指標(biāo)、應(yīng)激指標(biāo),術(shù)后血清氨基酸遞質(zhì)、神經(jīng)功能指標(biāo)含量差異。結(jié)果:長(zhǎng)期飲酒組患者的劃皮時(shí)(T2)、切口縫合時(shí)(T3)血流動(dòng)力學(xué)指標(biāo)CO、VO2值大于對(duì)照組患者,SV值小于對(duì)照組患者,應(yīng)激指標(biāo)Glu、Cor、AngⅡ、E、NE含量高于對(duì)照組患者;長(zhǎng)期飲酒組患者的術(shù)后血清Glu、Asp、Gly、GABA、Ala、Tau含量高于對(duì)照組患者,NSE、S100β、MMP-9含量高于對(duì)照組患者,BDNF、ADP含量低于對(duì)照組患者。結(jié)論:長(zhǎng)期飲酒可增加下腹部手術(shù)患者的麻醉抗藥性,增加術(shù)后認(rèn)知功能障礙發(fā)生率。
[Abstract]:Objective: to explore the effect of long-term drinking on anesthesia resistance and postoperative cognitive function in patients undergoing lower abdominal surgery.Methods one hundred and eighty-eight patients undergoing lower abdominal surgery were divided into two groups: chronic drinking group (n = 43) and control group (n = 75).The hemodynamic index, stress index, serum amino acid transmitter and nerve function index were compared between the two groups.Results: in the patients with chronic drinking, the blood flow index COV _ 2 was higher than that in the control group, and the stress index was higher than that in the control group, and the content of Glu-Corn Ang 鈪,
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