平衡超滤对围体外循环手术期炎性因子变化的影响
高福民;盛裕萍;陈荫椿;姚登福;
摘要(Abstract):
目的:探讨平衡超滤对围体外循环(CPB)期炎性因子变化的影响。方法:将36例心脏瓣膜置换术者随机分成对照组和平衡超滤组(BUF组),记录临床指标,并分别于CPB开始、30分钟、结束和术后2小时采集动脉血标本,应用单克隆抗体酶联免疫法检测肿瘤坏死因子(TNF)、白细胞介素6(IL-6)和白细胞介素8(IL-8)指标。结果:对照组各类炎症介质的浓度随转流时间的延长不断上升;BUF组各时段的炎症介质的浓度变化较少,CPB结束时各炎症介质的浓度显著低于对照组。结论:平衡超滤能够降低炎性因子的浓度,改善心功能。
关键词(KeyWords): 平衡超滤;肿瘤坏死因子;IL-6;IL-8
基金项目(Foundation):
作者(Authors): 高福民;盛裕萍;陈荫椿;姚登福;
参考文献(References):
- [1]Eugen F,Wolfgang E,Salmen B,et al.The immune enhanc-ing effect of preoperative thiopental administration in elderly patients undergoing major thiopental-surgery[J].Arch Surgery,1998,123:1449.
- [2]Wan S,Leclerc Jl,Vincent Jl.Inflammatory response to car-diopulmonary bypass mechanisms involved and possible ther-apeutic strategies[J].Chest,1997,112:676-692.
- [3]Frangogiannis NG,Lindsey ML,Michael LH.Resident car-diac mast cells deregulate and release performed TNF-alpha igniting the cytokine cascade in experimental canine myocar-dial ischemia reperfusion[J].Circulation,1998,98(7):699-710.
- [4]Chen YE,Tsaiwc,Lincc,et al.Lourocyte depiction attenuates expression of adhesion molecules during cardiopulmonary by-pass in human beings[J].J honac candiovasc sang,2002,123:258-278.
- [5]Journois D,Israel-Biet D,Pouard P,et al.High volume,zero balanced hemofiltration to reduce delayed inflammatory re-sponse to cardiopulmonary bypass in children.Anesthesiolo-gy,1996,86:965-976.