Effects of Ultra-fast Track Anesthesia on Blood Levels of C-reactive Protein and Procalcitonin in Patients After Pediatric Cardiac Surgery
10.3969/j.issn.1000-3614.2016.02.014
- VernacularTitle:超快通道麻醉对小儿心脏手术后C反应蛋白和降钙素原的影响
- Author:
Quanyi ZHANG
;
Jie DING
;
Qipeng LUO
;
Fuxia YAN
;
Lihuan LI
- Publication Type:Journal Article
- Keywords:
Anesthesia;
C-reactive protein;
Procalcitonin
- From:
Chinese Circulation Journal
2016;31(2):161-164
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare the effects of ultra-fast track anesthesia and traditional anesthesia on blood levels of high sensitivity C-reactive protein (Hs-CRP), C-reactive protein (CRP) and procalcitonin (PCT) in patients after pediatric cardiac surgery.
Methods: A total of 101 patients received pediatric cardiovascular surgery by a same anesthesiologist in our hospital from 2013-09 to 2014-05 were retrospectively reviewed. The patients were studied in 2 anesthesia groups:Ultra-fast track group, in which the extubation was conducted in operating room, n=40 and Traditional group, n=44. Blood levels of Hs-CRP, CRP and PCT at pre-operation (T0), 1st day post-operation (T1) and 2nd day post-operation (T2) were compared.
Results: ①Hs-CRP levels were higher at T1 and T2 than T0 in both groups, all P<0.05;Hs-CRP level in Ultra-fast track group was lower than Traditional group at T1 time point, P<0.05. ②CRP levels were similar among 3 time points in Ultra-fast track group;while in Traditional group, CRP level at T2 was higher than T1, P<0.05; CRP level was higher in Traditional group than Ultra-fast track group at T2, P<0.05.③PCT levels at 3 time points were similar in the same group;while PCT level in Ultra-fast track group was lower than Traditional group at T1 time point, P<0.05.
Conclusion: Compared With traditional anesthesia, ultra-fast track anesthesia could decrease the post-operative elevations of Hs-CRP, CRP and PCT in patients after pediatric cardiac surgery.
