Clinical Study of the Effect of Methylprednisolone Combined With Two Hydroxypropyl Theophylline on Respiratory Dynamics During Thoracoscopic Lobectomy
Overview
- Phase
- Not Applicable
- Intervention
- Methylprednisolone 40 MG Injection;Dihydroxypropyltheophylline;
- Conditions
- Methylprednisolone;Dihydroxypropyltheophylline;One Lung Ventilation;Respiratory Dynamics
- Sponsor
- Qianfoshan Hospital
- Enrollment
- 110
- Primary Endpoint
- Pplat
- Last Updated
- 4 years ago
Overview
Brief Summary
Through the design of RCT study, the preoperative use of drugs (methylprednisolone + dihydroxypropyltheophylline) as intervention measures, the patients undergoing thoracoscopic lobectomy as the main research object, through the comparison of two groups of patients with intraoperative respiratory dynamics index and postoperative complications, to explore a more effective perioperative management method.
Investigators
Lili Cao
professor
Qianfoshan Hospital
Eligibility Criteria
Inclusion Criteria
- •After fully understanding the purpose and significance of the trial, the patients voluntarily participated in the trial and signed the informed consent;
- •The type of operation was general anesthesia and thoracoscopic lobectomy;
- •Age 18-75 years old, including boundary value, gender is not limited;
- •BMI 18-26kg / m2;
- •ASA grade I-II; no mental disorder, normal consciousness, normal communication;
- •No contraindications of methylprednisolone and dihydroxypropyltheophylline.
Exclusion Criteria
- •There were diseases of immune, endocrine, nervous and mental system before operation, and serious dysfunction of heart, liver and kidney;
- •Take immunosuppressive drugs and non steroidal anti-inflammatory drugs before operation;
- •Respiratory tract infection (cough, expectoration, suffocation, etc.) in recent 1 month; pneumonia, bronchitis, etc. on CT;
- •History of chronic pulmonary disease, including but not limited to asthma, pulmonary abscess, tuberculosis, chronic bronchitis, etc;
- •FEV1 \< 50%;
- •Oxygen saturation was lower than 90% and airway pressure was higher than 40 cm H20;
- •Continuous hypotension or hypertension during the operation; intraoperative blood loss \> 1000ml;
- •Allergic to methylprednisolone or dihydroxypropyltheophylline;
- •There are any other situations that the researchers think are not suitable for inclusion.
Arms & Interventions
Experimental group
Intervention: Methylprednisolone 40 MG Injection;Dihydroxypropyltheophylline;
control group
Intervention: Placebo
Outcomes
Primary Outcomes
Pplat
Time Frame: 5 different time points during the operation
Airway pressure at different time points during operation
Ppeak
Time Frame: 5 different time points during the operation
Peak airway pressure at different time points during operation