Du D, Qiao Q, Guan Z, Gao YF, Wang Q. Combined sevoflurane-dexmedetomidine and nerve blockade on post-surgical serum oxidative stress biomarker levels in thyroid cancer patients. World J Clin Cases 2022; 10(10): 3027-3034 [PMID: 35647114 DOI: 10.12998/wjcc.v10.i10.3027]
Corresponding Author of This Article
Qiang Wang, MD, Chief Physician, Department of Anesthesiology, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Yanta Road, Xi’an 710061, Shaanxi Province, China. wang_qiangwq183@163.com
Research Domain of This Article
Anesthesiology
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 6, 2022; 10(10): 3027-3034 Published online Apr 6, 2022. doi: 10.12998/wjcc.v10.i10.3027
Table 1 Serum monocyte chemotactic protein-1 and glutathione peroxidase of patients in the two groups before and after surgery (mean ± SD)
Group
MCP-1 (pg/mL)
t
P value
GSH-Px (pg/mL)
t
P value
Pre-operation
Post-operation
Pre-operation
Post-operation
Experimental group (n = 49)
146.23 ± 10.05
215.25 ± 10.11
34.229
< 0.001
1939.65 ± 10.14
1823.21 ± 10.15
55.053
< 0.001
Control group (n = 47)
145.61 ± 10.21
554.41 ± 10.23
205.944
< 0.001
1941.54 ± 10.09
1642.17 ± 10.57
144.328
< 0.001
t
0.129
163.359
-
-
0.915
85.602
-
-
P value
0.898
< 0.001
-
-
0.362
< 0.001
-
-
Table 2 Serum adrenocorticotropic hormone and norepinephrine levels in the two groups at 1 and 12 h after surgery (mean ± SD)
Group
ACTH (pg/mL)
t
P value
NE (pg/mL)
t
P value
1 h after operation
12 h after operation
1 h after operation
12 h after operation
Experimental group (n = 49)
26.22 ± 1.21
28.25 ± 1.65
6.442
< 0.001
600.11 ± 5.23
622.19 ± 5.43
21.276
< 0.001
Control group (n = 47)
27.98 ± 1.05
29.99 ± 1.14
8.114
< 0.001
623.32 ± 5.14
642.17 ± 5.01
17.590
< 0.001
t
7.598
5.987
-
-
21.928
18.716
-
-
P value
< 0.001
< 0.001
-
-
< 0.001
< 0.001
-
-
Table 3 Bispectral index in the two groups at different time points (mean ± SD)
Group
Pre-operation
20 min after the surgery started
Open eyes
Experimental group (n = 49)
95.31 ± 4.15
46.76 ± 3.55
75.31 ± 3.05
Control group (n = 47)
95.08 ± 3.89
53.04 ± 3.61
68.85 ± 3.41
t
0.269
8.601
9.790
P value
0.789
< 0.001
< 0.001
Table 4 Toxicity and side effect rate in the two groups, n (%)
Group
Headache
Ataxia
Drowsiness
Toxicity and side effect rate
Experimental group (n = 49)
2 (4.08)
2 (4.08)
1 (2.04)
5 (10.20)
Control group (n = 47)
1 (2.13)
3 (6.38)
2 (4.26)
6 (12.76)
χ2
-
-
-
0.155
P value
-
-
-
0.694
Citation: Du D, Qiao Q, Guan Z, Gao YF, Wang Q. Combined sevoflurane-dexmedetomidine and nerve blockade on post-surgical serum oxidative stress biomarker levels in thyroid cancer patients. World J Clin Cases 2022; 10(10): 3027-3034