Effect of Different Doses of Parecoxib Sodium on Immune Indexes, Serum S100β NSE TNF-α and IL-1β Levels in Patients Undergoing Surgery for Rectal Cancer
ZHANG Longfei, LIAO Xingzhi, LIU Yufang, et al
904 Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Jiangsu Wuxi 214000, China
Abstract:Objective: To investigate the Effect of different doses of parecoxib sodium on immune indexes, serum S100β, NSE, TNF-α and IL-1β levels in patients undergoing surgery for rectal cancer. Methods: A total of 80 patients who underwent rectal cancer surgery in our hospital from March 2018 to June 2021 were included in the study. They were simply randomly divided into high-dose, low-dose and control groups, with 30 cases, 30 cases and 20 cases respectively. The control group was treated with sodium chloride (0.9%) 20 minutes before anesthesia , the high-dose group was given 30 mg parecoxib sodium, and the low-dose group was given 10 mg parecoxib sodium β , NSE , TNF- α And IL-1 β. Results: The number of analgesic pump presses was significantly less in the high-dose group than in the low-dose and control groups, and significantly less in the low-dose than in the control group, with statistically significant differences (P<0.05); the differences were statistically significant (P<0.05) for the comparison of intersubject effects (F time point, F interaction) and between-subject effects (F between groups) for S100β, TNF-α, IL-1β, and NSE only for the F time point comparison was statistically significant (P<0.05), while the between-group differences and group-time-interaction effects were not statistically significant (P>0.05). The differences were statistically significant (P<0.05) for the comparison of CD3+ and CD4+ within-subject effects (F time point, F interaction) and between-subject effects (F between groups), and statistically significant (P<0.05) for CD8+ only for the comparison of F time point, while neither the between-group differences nor the interaction between groups and time were statistically significant (P>0.05). Conclusion: Parecoxib sodium significantly improved immune markers, serum S100β, NSE, TNF-α and IL-1β levels in patients undergoing surgery for rectal cancer, with better results when 30mg was used.
张龙飞, 廖兴志, 刘宇芳, 翁玲, 陆海波. 不同剂量帕瑞昔布钠对直肠癌手术患者免疫指标血清S100β NSE TNF-α及IL-1β水平的影响[J]. 河北医学, 2022, 28(8): 1399-1403.
ZHANG Longfei, LIAO Xingzhi, LIU Yufang, et al. Effect of Different Doses of Parecoxib Sodium on Immune Indexes, Serum S100β NSE TNF-α and IL-1β Levels in Patients Undergoing Surgery for Rectal Cancer. HeBei Med, 2022, 28(8): 1399-1403.
[1] Turgeon MK,Gamboa AC,Keilson JM,et al.Radiological assessment of persistent retroperitoneal and lateral pelvic lymph nodes after neoadjuvant therapy for rectal cancer:an analysis of the united states rectal cancer consortium[J].Surg Oncol,2021,124(5):818-828. [2] Gani C,Lo Russo M,Boeke S,et al.A novel approach for radiotherapy dose escalation in rectal cancer using online MR-guidance and rectal ultrasound gel filling-rationale and first in human[J].Radiother Oncol,2021,14(164):37-42. [3] 潘宠勤,钱向东,王志广,等.帕瑞昔布钠对老年结直肠癌根治术患者脑保护的影响[J].中华全科医学,2017,15(9):1521-1523. [4] 刘琳,柴小青,谢言虎,等.加速康复外科策略中使用帕瑞昔布钠对胃癌根治术患者术后恢复的影响[J].临床麻醉学杂志,2018,34(11):1045-1049. [5] 汪建平.2020年美国结直肠外科医师协会直肠癌诊疗临床实践指南要点解读[J].中华胃肠外科杂志,2021,24(1):27-34. [6] Noh GT,Han M,Hur H,et al.Impact of laparoscopic surgical experience on the learning curve of robotic rectal cancer surgery[J].Surg Endosc,2021,35(10):5583-5592. [7] 李娜,齐庆岭,史绍鼐.右美托咪定对乳腺癌根治术后谵妄及S100β蛋白,NSE及TNF-α水平的影响[J].中国实验诊断学,2020,24(1):28-30. [8] 吕厚宽,庄文辉,刘晓晖,等.帕瑞昔布钠在老年结肠癌根治术前应用对术后疼痛与免疫水平的影响[J].中国临床保健杂志,2020,23(4):522-526. [9] 王燕,林大卫,马鹏,等.多模式镇痛在结直肠癌患者围术期加速康复中的作用[J].江苏大学学报(医学版),2020,30(4):357-360. [10] 徐纳新,洪飚,李岚.麻醉诱导前帕瑞昔布钠对肝病患者术后镇痛效果及凝血功能的影响[J].西北药学杂志,2017,32(2):209-211. [11] 丁捷,王军.地塞米松联合右美托咪定对结直肠癌患者术后免疫应激水平及疗效的影响[J].北京医学,2020,42(4):298-301.