Effect of perioperative continuous epidural morphine administration on plasma D-dimer in patients undergoing total hip replacement / 南方医科大学学报
Journal of Southern Medical University
;
(12): 523-525, 2006.
Article
Dans Chinois
| WPRIM
| ID: wpr-255264
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the effect of perioperative continuous epidural morphine administration on plasma D-dimer level in patients undergoing total hip replacement.</p><p><b>METHODS</b>Forty ASA I-II patients undergoing total hip replacement under epidural anesthesia were randomized into two groups. In one group, the patients were given epidural administration of morphine 15 min before operation at 4 mg (in 10 ml normal saline) and for 48 h after the operation at 80 microg/h, while those in the other group received epidural injection of the same amount of normal saline before operation and 0.15% ropivacaine 2.0 ml/h for 48 h in the same manner after operation. Blood samples were taken before anesthesia (T(0)), at the end of operation (T(1)), and 24 h and 48 h after operation (T(2) and T(3)) for determination of plasma IL-6 and D-dimer levels.</p><p><b>RESULTS</b>In both groups plasma IL-6 and D-dimer levels showed significant increase at T(1), T(2) and T(3) in comparison with those at T(0), and their levels were significantly lower in morphine group than in ropivacaine group at T(1), T(2) and T(3).</p><p><b>CONCLUSION</b>Epidural morphine can lower plasma IL-6 and D-dimer levels and correct blood hypercoagulability in patients undergoing total hip replacement.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Période postopératoire
/
Sang
/
Injections épidurales
/
Produits de dégradation de la fibrine et du fibrinogène
/
Interleukine-6
/
Soins périopératoires
/
Arthroplastie prothétique de hanche
/
Métabolisme
/
Morphine
Type d'étude:
Essai clinique contrôlé
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Chinois
Texte intégral:
Journal of Southern Medical University
Année:
2006
Type:
Article
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