基于sevoflurane的麻醉和基于propofol的麻醉对活着的移植捐赠者的早期术后功能影响的比较:随机对照试验
Jianyue Cai1, Fang Kang1, Mingming Han1
1Department of Anesthesiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, People's Republic of China.
Drug design, development and therapy
|January 28, 2025
概括
这项研究发现,在活着的脏捐赠者中,sevoflurane和propofol麻醉之间的损伤生物标志物没有显著差异. 两种麻醉剂都显示了术后损伤标志物的暂时增加.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 麻醉学 麻醉学
- 移植 移植 移植 移植
背景情况:
- 活体移植是末期病的重要治疗方法.
- 不同麻醉剂对活体捐赠者的损伤的影响需要进一步调查.
研究的目的:
- 为了比较sevoflurane与propofol麻醉对活捐赠者的术后损伤生物标志物的影响.
主要方法:
- 70名活着的脏捐赠者被随机分配给sevoflurane或propofol麻醉.
- 包括KIM-1,IL-18,TIMP-2,cystatin C和GFR在内的生物标志物在手术前和后被测量.
主要成果:
- 所有捐赠者都显示损伤生物标志物在麻醉后暂时增加.
- 对于KIM-1,IL-18或TIMP-2的变化,没有观察到塞沃兰和普罗波组之间的统计学上显著差异.
结论:
- 塞沃弗兰和普罗波麻醉对活体脏捐赠者的术后脏损伤生物标志物具有相似的影响.
- 两种麻醉剂都没有在这种捐赠人群中在保护功能方面表现出明显的优势.
相关概念视频
Parenteral Anesthetics: Overview
95
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
95
Renal Failure: Dose Adjustments
61
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
61


