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Effect of parecoxib sodium intervention before induction on incision pain and inflammatory stress response after orthopedic surgery

机译:诱导前帕瑞昔布钠干预对骨科手术后切口疼痛和炎症应激反应的影响

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Objective: To study the effect of parecoxib sodium intervention before induction on incision pain and inflammatory stress response after orthopedic surgery. Methods: Patients who underwent orthopedic surgery under lumbar anesthesia combined with epidural block anesthesia in Mianyang Central Hospital between March 2015 and June 2017 were selected and divided into two groups by random number table method, Par group received parecoxib sodium intervention before induction combined with routine postoperative patient-controlled intravenous analgesia, and control group only accepted routine postoperative patient-controlled intravenous analgesia. The pain neurotransmitters, inflammatory molecules and stress molecules in serum and peripheral blood were measured before surgery as well as 1 day and 3 days after surgery. Results: Compared with pain neurotransmitters of same group before surgery, serum PGE2, 5-HT, SP, NPY levels of both groups were significantly lower whereas serum COR and GH levels and peripheral blood JAK2, STAT3, IL-1, IL-6, IFIT1, Nrf2 and HO-1 mRNA expression were significantly higher 1 day and 3 days after surgery, and serum PGE2, 5-HT, SP, NPY, COR and GH levels as well as peripheral blood JAK2, STAT3, IL-1, IL-6, IFIT1, Nrf2 and HO-1 mRNA expression of Par group 1 day and 3 days after surgery were lower than those of control group. Conclusions: Parecoxib sodium intervention before induction can reduce the incision pain and inflammatory stress response after orthopedic surgery.
机译:目的:研究诱导前帕瑞昔布钠干预对骨科手术后切口疼痛和炎症应激反应的影响。方法:选择2015年3月至2017年6月在绵阳市中心医院接受腰麻加硬膜外阻滞麻醉的骨科手术患者,随机数字表法分为两组,Par组在诱导前加常规术后接受帕瑞昔布钠干预病人自控静脉镇痛,对照组仅接受术后常规的病人自控静脉镇痛。在手术前以及手术后1天和3天测量血清和外周血中的疼痛神经递质,炎性分子和应激分子。结果:与术前相同组的疼痛神经递质相比,两组患者的血清PGE2、5-HT,SP,NPY水平明显降低,而血清COR,GH水平以及外周血JAK2,STAT3,IL-1,IL-6,术后1天和3天IFIT1,Nrf2和HO-1 mRNA表达显着升高,血清PGE2、5-HT,SP,NPY,COR和GH水平以及外周血JAK2,STAT3,IL-1,IL -6,Par组术后1天和3天IFIT1,Nrf2和HO-1 mRNA的表达均低于对照组。结论:帕瑞昔布钠在诱导前干预可以减轻骨科手术后切口疼痛和炎症应激反应。

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