首页> 外文期刊>The Open Anesthesiology Journal >Effect of Ketamine on Inflammatory and Immune Responses After Short- Duration Surgery in Obese Patients
【24h】

Effect of Ketamine on Inflammatory and Immune Responses After Short- Duration Surgery in Obese Patients

机译:氯胺酮对肥胖患者短期手术后炎症和免疫反应的影响

获取原文
           

摘要

In non-obese patients ketamine decreases inflammatory responses and prevents overexpression of immune responses.Its effect in obese patients is unknown. This prospective, blinded, randomized controlled trial was designed todetermine the effect of ketamine on cytokines and immune cell responses after short-duration surgery in obese patients.Thirty-six patients received either ketamine 0.15 mg/kg IV prior to induction of general anesthesia, or an equal volume ofnormal saline. Cytokine concentrations and immune cell responses were determined pre-operatively and at 4, 24, and 48 hafter operation. Interleukin (IL)-6 production was significantly greater in the control group (126.0 ± 18.8 ng/ml, mean ±SEM, n = 19) than in the ketamine group (57.9 ± 8.4 ng/ml) at 4 h. At other time periods IL-6 and tumor necrosis factor αincreased and IL-2, lymphocyte proliferation, and natural killer cell cytotoxity decreased compared to pre-operative valuesin the control group but not in the ketamine group. We conclude that effects of ketamine on inflammatory and immune responsesafter short-duration surgery in obese patients are similar to those previously reported in non-obese patients.
机译:在非肥胖患者中,氯胺酮可降低炎症反应并防止免疫反应的过表达,其在肥胖患者中的作用尚不清楚。这项前瞻性,双盲,随机对照试验旨在确定肥胖患者短期手术后氯胺酮对细胞因子和免疫细胞反应的影响。三十六例患者在全身麻醉前静脉注射氯胺酮0.15 mg / kg或等量的生理盐水。术前,术后4、24和48小时测定细胞因子浓度和免疫细胞反应。在4 h时,对照组(126.0±18.8 ng / ml,平均值±SEM,n = 19)中白介素(IL)-6的产量显着高于氯胺酮组(57.9±8.4 ng / ml)。在其他时间段,与对照组相比,氯胺酮组的IL-6和肿瘤坏死因子α升高,而IL-2,淋巴细胞增殖和自然杀伤细胞的细胞毒性降低。我们得出的结论是,在肥胖患者短期手术后,氯胺酮对炎症和免疫反应的影响与先前在非肥胖患者中报道的相似。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号