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| Effect of Dexmedetomidine on Perioperative Platelet Activity and Cellular Immunity Function for Patients Undergoing Colon Cancer Radical Surgery |
| CAO Bingyu, et al |
University of Jinan-Shandong Academy of Medical Sciences,
Shandong Jinan 250022, China |
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Abstract Objective: To investigate the effect of dexmedetomidine (DEX) on perioperative platelet activity and cellular immunity for patients undergoing colon cancer radical surgery. Methods: 60 patients undergoing colon cancer radical surgery were assigned into two groups using random table method: DEX group (n=30) and control group (n=30). DEX group was given intravenous infusion of DEX with loading dose of 1μg/kg 10 min before anesthesia induction, and then at 0.5μg·kg-1·h-1 till completing the surgery; the control group was given intravenous infusion of 0.9% sodium chloride. The levels of P-selection (CD62P), glycoprotein(GP) II b/III a, IgM, IgG, IgA, CD3+, CD4+, CD8+, and CD4+/CD8+ at 5 min before anesthesia induction (T0), immediately after the surgery (T1), 12h after the surgery (T2), 24h after the surgery (T3) were compared between the two groups. And the adverse events of the two groups were compared. Results: There were no differences in the levels of CD62P, GP II b/III a, IgM, IgG, IgA, CD3+, CD4+, CD8+ and CD4+/8+ at T0 between the two groups (P>0.05). CD62P and GP II b/III at T1, T2 and T3 of the two groups were significantly higher those at T0 and their levels of the control group were significantly higher than those of DEX group (P<0.05). IgM, IgG, IgA, CD3+, CD4+, CD8+ and CD4+/8+ of the DEX group at T1, T2 and T3 were similar to those at T0. IgM, IgG, IgA, CD3+, CD4+, CD8+ and CD4+/8+ of the control group at T1, T2 and T3 were significantly lower than those at T0, and lower than those of the DEX group (P<0.05), while the levels of CD8+ strongly increased and were higher than those of the control group (P<0.05). There were no difference in the adverse events rates between the two groups (P>0.05). Conclusions: DEX can inhibit platelet hyperactivation and stabilize immune function of patients undergoing radical resection of colon cancer without increasing adverse reactions. It has certain clinical value in preventing and treating perioperative hematogenous metastasis of tumor cells in patients undergoing radical resection of colon cancer.
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2018, Vol. 24 
