多科室联合保温对腹腔镜下结直肠癌手术患者血清炎症因子的影响

Effect of multi-department combined thermal preservation on serum inflammatory factors in patients undergoing laparoscopic colorectal cancer surgery

  • 摘要: 目的 探讨多科室联合保温对腹腔镜下结直肠癌患者炎症因子的影响。 方法 选取江苏省苏北人民医院行腹腔镜下结直肠癌手术的90例患者为研究对象,并随机分为A组(常规保温)、B组(术中保温)和C组(多科室联合保温)。术前1 d(T0)、术后第1天(T1)、术后第3天(T2)、术后第5天(T3)采集外周血,检测血清中白细胞介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)水平。 结果 与T0时点比较, 3组术后各时点IL-6、CRP、TNF-α水平均显著升高(P<0.05)(除C组T3时点、TNF-α水平外)。T1、T2、T3时点, C组IL-6、CRP、TNF-α水平显著低于A、B组(P<0.05)。 结论 多科室联合保温措施可以减少低体温的发生,减轻机体免疫应激损害。

     

    Abstract: Objective To observe multi-department combined thermal preservation on serum inflammatory factors in patients undergoing laparoscopic colorectal cancer surgery. Methods A total of 90 patients undergoing laparoscopic colorectal cancer surgery in Subei People's Hospital were selected as subjects, and were randomly divided into A group(conventional thermal preservation), B group(intraoperative thermal preservation)and C group(multi-department combined thermal preservation). Blood samples of three groups were collected, and the levels of serum interleukin-6(IL-6), C reactive protein(CRP), tumor necrosis factor-α(TNF-α)in each group were detected on the first day before operation(T0), and the first day(T1), the third day(T2)and the fifth day(T3)after operation. Results At T1, T2 and T3, the levels of IL-6, CRP and TNF-α in the C group were significantly lower than those in the A and B groups(P<0.05). Compared with T0, IL-6, CRP and TNF-α levels in the three groups were increased at different time points after operation, except for the level of TNF-α at T3 in group C(P<0.05). At T1, T2 and T3, the levels of IL-6, CRP and TNF-α in group C were significantly lower than those in group A and B(P<0.05). Conclusion Combined heat preservation measures of multiple departments can reduce the occurrence of hypothermia and - relieve immune stress damage.

     

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