[Effect of mexidol on the magnitude of a systemic inflammatory response in patients at aortocoronary bypass surgery].
Anesteziol Reanimatol
; (4): 27-30, 2008.
Article
in Ru
| MEDLINE
| ID: mdl-18819391
ABSTRACT
OBJECTIVE:
to evaluate the efficiency of pharmacological correction of a systemic inflammatory response in patients after coronary bypass surgery, by using mexidol. SUBJECTS ANDMETHODS:
40 patients with coronary heart disease, who had undergone myocardial revascularization were examined. A study group (n = 20) received mexidol within 5 days before, during, and 5 days after surgery. A control group (n = 20) were given 0.9% NaCl solution. The degree of a systemic inflammatory response was estimated from the levels of C-reactive protein (CRP), the cytokines IL-6, IL-8, and TNF-alpha. The activities of serum enzymes and myoglobin were determined.RESULTS:
after surgery, both groups showed the elevated concentrations of IL-6, IL-8, TNF-alpha, and CRP, but their elevation was statistically significant less in the study group than in the control one (p < 0.05). In both groups, there were increases in the levels of alanine aminotransferase, aspartate aminotransferase, gamma-glutamyl transpeptidase, lactate dehydrogenase, creatinine phosphokinase, and myoglobin, which was statistically significant more apparent in the control group (p < 0.05).CONCLUSIONS:
mexidol diminishes the magnitude of a systemic response after aortocoronary bypass surgery under extracorporeal circulation and has an organ-protective effect.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Picolines
/
Postoperative Complications
/
Coronary Artery Bypass
/
Systemic Inflammatory Response Syndrome
/
Antioxidants
Type of study:
Etiology_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
Ru
Journal:
Anesteziol Reanimatol
Year:
2008
Document type:
Article