胸腔镜肺癌根治术治疗复发性肺癌患者术后应激反应的效果

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Abstract Objective To investigate the application effect of thoracoscopic radical resection of lung cancer in postoperative stress response in patients with recurrent lung cancer. Methods A total of 80 patients with recurrent lung cancer who visited the Department of Cardiothoracic Thyroid and Breast Surgery of Jianghan Oilfield General Hospital in Hubei Province from February 2019 to January 2020 were selected as the research objects, and they were divided into the control group (40 cases) and the experimental group (40 cases) according to random number table method. The patients in the control group were treated with traditional thoracotomy, and the patients in the experimental group were treated with thoracoscopic radical resection of lung cancer. The stress response indicators and inflammatory reaction indexes of the two groups were compared, and the surgical indexes and clinical treatment effects of the two groups were recorded. Results The levels of cortisol, growth hormone and prostaglandin E2 in the stress response indexes of the experimental group after treatment were lower than those of the control group after treatment, and the differences were statistically significant (P＜0.05). After treatment, the levels of C-reactive protein (CPR), procalcitonin (PCT) and interleukin-6 (IL-6) in the inflammatory response indexes in the experimental group were lower than those in the control group after treatment, and the differences were statistically significant (P＜0.05). The treatment total effective rate of the experimental group after treatment was higher than that of the control group after treatment, and the difference was statistically significant (P＜0.05). The indwelling time of the chest tube in the experimental group was shorter than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion Thoracoscopic radical resection of lung cancer as the main regimen in the treatment of recurrent lung cancer can significantly improve the therapeutic effect and safety of patients, shorten the indwelling time of thoracic tube, optimize stress and inflammatory response, and it can be popularized and applied in clinical practice.

Key words： Lung cancer Thoracoscopic surgery Stress response index Effective rate

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	WU Kai

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WU Kai. Effect of thoracoscopic radical resection of lung cancer on postoperative stress response in patients with recurrent lung cancer[J]. 中国当代医药, 2022, 29(27): 90-92转96.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I27/90

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