Effect of dexmedetomidine combined with lumbar anesthesia on Th1/Th2 in maternal patients and neonates undergoing caesarean section

作者: Wentian Shi , Ping Zhang

DOI: 10.3892/ETM.2019.7648

关键词:

摘要: The selection of anesthetic method and drugs is utmost importance for patients undergoing caesarean section. application may affect the immune system maternal patient neonate. Therefore, present study aimed to analyze effect dexmedetomidine combined with lumbar anesthesia on type 1 T-helper cells (Th1) Th2 cytokines in mothers their neonates A total 60 females full-term pregnancies an American Society Anesthesiologists grade I or II who received section were selected equally divided a randomized manner into control group receiving epidural combination treated by anesthesia. visual analogue scale (VAS) score, adverse reactions, traction response neonates' Apgar score compared between two groups. levels interleukin-2 (IL-2), tumor necrosis factor-α (TNF-α), IL-4 IL-10 blood detected reverse transcription-quantitative PCR ELISA. results indicated no statistically significant difference VAS scores, reduced response, as well IL-2 TNF-α expression, significantly decreased, while obviously elevated those controls (P<0.05). Furthermore, markedly declined, whereas expression was apparently enhanced from In conclusion, addition reduces reactions promotes conversion Th1 mothers/nonates after

参考文章(30)
FENG YUAN, HONGGUANG FU, PENGJU YANG, KAI SUN, SHUBIAO WU, MIAOMIAO LV, ZHENZHEN DONG, TIELI DONG, Dexmedetomidine-fentanyl versus propofol-fentanyl in flexible bronchoscopy: A randomized study. Experimental and Therapeutic Medicine. ,vol. 12, pp. 506- 512 ,(2016) , 10.3892/ETM.2016.3274
Sae Im Jeong, Jin A. Shin, Sunghee Cho, Hye Won Kim, Ji Yoon Lee, Jihee Lee Kang, Eun-Mi Park, Resveratrol attenuates peripheral and brain inflammation and reduces ischemic brain injury in aged female mice. Neurobiology of Aging. ,vol. 44, pp. 74- 84 ,(2016) , 10.1016/J.NEUROBIOLAGING.2016.04.007
Bo Li, Yalan Li, Shushi Tian, Huixia Wang, Hui Wu, Aihua Zhang, Chengjie Gao, Anti-inflammatory Effects of Perioperative Dexmedetomidine Administered as an Adjunct to General Anesthesia: A Meta-analysis. Scientific Reports. ,vol. 5, pp. 12342- 12342 ,(2015) , 10.1038/SREP12342
A Das, S Chhaule, S Bhattacharya, SR Basunia, T Mitra, PS Halder, S Chattopadhyay, SK Mandal, Controlled hypotension in day care functional endoscopic sinus surgery: A comparison between esmolol and dexmedetomidine: A prospective, double-blind, and randomized study Saudi Journal of Anaesthesia. ,vol. 10, pp. 276- 282 ,(2016) , 10.4103/1658-354X.174919
Tanveer Singh Kundra, PS Nagaraja, Naveen G Singh, Manasa Dhananjaya, N Sathish, N Manjunatha, None, Effect of dexmedetomidine on diseased coronary vessel diameter and myocardial protection in percutaneous coronary interventional patients Annals of Cardiac Anaesthesia. ,vol. 19, pp. 394- 398 ,(2016) , 10.4103/0971-9784.185517
Giuliano Ferrone, Pasi Pohjanjousi, Gabriela Ferreyra, Massimo Antonelli, Giorgio Conti, Vito Marco Ranieri, Roberta Costa, Chris Garratt, Andrew Wighton, Giorgia Spinazzola, Rosario Urbino, Luciana Mascia, Effects of dexmedetomidine and propofol on patient-ventilator interaction in difficult-to-wean, mechanically ventilated patients: a prospective, open-label, randomised, multicentre study Critical Care. ,vol. 20, pp. 206- 206 ,(2016) , 10.1186/S13054-016-1386-2
Huafeng Guo, Lei Fan, Ji Zhang, Yan Zhao, Zhifeng Lv, Clinical research on the dexmedetomidine applied for patient-controlled sedation during the lower limbs operation under combined spinal-epidural anesthesia. Pakistan Journal of Pharmaceutical Sciences. ,vol. 29, pp. 1095- 1100 ,(2016)
Yumiko Nishio, Teruyuki Hiraki, Hiroko Taniguchi, Kazuo Ushijima, Anesthetic management during a cesarean section in a patient with cleidocranial dysplasia: a case report. JA Clinical Reports. ,vol. 4, pp. 1- 2 ,(2018) , 10.1186/S40981-017-0141-2