目的探讨沐舒坦在腹腔镜直肠癌围手术期的应用价值。方法将80例行腹腔镜直肠癌手术患者,随机分成A组和B组各40例,A组术前5 d起静滴沐舒坦(90 mg/次,1次/d,连续5 d)+雾化(30mg/次,3次/d,连续5 d),术后应用同术前;B组术前不用,术后治疗方法与A组相同;比较两组在术后排痰情况、肺部并发症、PaCO2和PaO2及肺功能的差异。结果A组术后临床排痰满意38例(95.0%),优于B组31例(77.5%);术后A组PaO2显著高于B组(F=77.44,P<0.001),PaCO2较B组明显降低(F=28.55,P<0.001),术前应用沐舒坦在改善排痰情况及肺功能方面明显优于仅术后应用患者。A组发生肺部感染3例,肺不张1例;B组发生肺部感染4例,肺不张1例;A组肺部并发症的发生率为10.0%,低于B组(12.0%)。结论术前应用沐舒坦在改善肺通气及肺功能方面有较好的临床价值。
ObjectiveTo investigate the application value of Mucosolvan during perioperative period of laparoscopic rectal cancer. MethodsEighty patients with rectal cancer were randomly divided into group A and group B,40 cases in each group. Patients in Group A were treated with Mucosolvan via intravenous administration (90mg for each dose, q.d) combined with atomization (30mg for each dose, t.i.d) for consecutive 5 days before operations, the treaments were performed the same as those of pre-operation ,while patients in Group B were administrated with same protocol only omitting the treatment of pre-operation. The conditions of postoperative expectoration, pulmonary complications,the levels of PaCO2 and PaO2 and pulmonary function of two groups were compared. ResultsPatients in Group A showed better conditions of postoperative expectoration (95% versus77.5% of Group B). After operation, A group, PaO2 was significantly higher than that of group B (P<0.05), PaCO2 than that in group B decreased significantly (P<0.05), preoperative ambroxol in improving expectoration and pulmonary function better than only the postoperative patients (P<0.05). While there were no significant difference between two groups with respect to the morbidity of pulmonary complications(P>0.05). ConclusionsPreoperative application of Mucosolvan merits good clinical potential due to the improvement of pulmonary ventilation and pulmonary function.