DYNAMICS OF SERUM CYTOKINES AS AN INDICATOR OF INFLAMMATION EXPRESSION IN PATIENTS AFTER LUNGS RESECTION
https://doi.org/10.34822/2304-9448-2020-1-75-79
Abstract
The aim of the study is to take a comparative assessment of the inflammation severity in patients with
lung neoplasms based on changes in the concentration of interleukins in serum during surgery and in the early postoperative period in the presence of various types of anaesthesia and analgesia. Material and methods. Twentyfour patients aged 45 to 50 years divided into the main group and the comparison group are examined. In the main group, multimodal anaesthesia-analgesia with elements of a sympathetic blockade is used both during the surgery and in the postoperative period. The inhaled-intravenous anaesthesia followed by systemic analgesia with morphine is used in the comparison group. Four research points are identified: before induction of anaesthesia, 1, 12, and 24 hours after surgery. Results. In the postoperative period, patients undergoing lungs resection have statistically significant changes in the concentration of the studied cytokines, which indicates the presence of inflammation. The severity of the inflammatory process in the postoperative period using different methods of anaesthesia varies. In patients who had the sympathetic blockade in anaesthesia-analgesia regimens, inflammation is more evident
Keywords
About the Authors
A. O. SolovevRussian Federation
Candidate of Sciences (Medicine), Head, Anesthesiology and Intensive Care Unit;
Е-mail: solovevandr@mail.ru
V. T. Dolgikh
Russian Federation
Honoured Science Worker of the Russian Federation, Doctor of Sciences (Medicine), Professor,
Chief Researcher;
Е-mail: prof_dolgih@mail.ru
О. Н. Novichkova
Russian Federation
Anaesthesiologist-reanimatologist, Anesthesiology and Intensive Care Unit;
Е-mail: Novichkova_ON@mail.ru
N. V. Govorova
Russian Federation
Doctor of Sciences (Medicine), Professor, Head, Anesthesiology and Reanimation Department of Further Training;
Е-mail: nataly12@yandex.ru
O. V. Leonov
Russian Federation
Doctor of Sciences (Medicine), Deputy Chief Medical Officer;
Е-mail: leonov_oleg@mail.ru
O. V. Sokolova
Russian Federation
Head, Clinical and Diagnostic Department;
Е-mail: laboratory_omsk@mail.ru
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Review
For citations:
Solovev A.O., Dolgikh V.T., Novichkova О.Н., Govorova N.V., Leonov O.V., Sokolova O.V. DYNAMICS OF SERUM CYTOKINES AS AN INDICATOR OF INFLAMMATION EXPRESSION IN PATIENTS AFTER LUNGS RESECTION. Vestnik SurGU. Meditsina. 2020;(1 (43)):75-79. (In Russ.) https://doi.org/10.34822/2304-9448-2020-1-75-79