Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental |
| |
| control group | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Methylprednisolone 40 MG Injection;Dihydroxypropyltheophylline; | Drug | Before anesthesia induction, 80 mg methylprednisolone and 100 ml saline were given intravenously, and 0.25 g dihydroxypropyltheophylline and 100 ml normal saline were given intravenously. |
| Measure | Description | Time Frame |
|---|---|---|
| Pplat | Airway pressure at different time points during operation | 5 different time points during the operation |
| Ppeak | Peak airway pressure at different time points during operation | 5 different time points during the operation |
Not provided
Not provided
Inclusion Criteria:
1. After fully understanding the purpose and significance of the trial, the patients voluntarily participated in the trial and signed the informed consent;
2. The type of operation was general anesthesia and thoracoscopic lobectomy;
3. Age 18-75 years old, including boundary value, gender is not limited;
4. BMI 18-26kg / m2;
5. ASA grade I-II; no mental disorder, normal consciousness, normal communication;
6. No contraindications of methylprednisolone and dihydroxypropyltheophylline.
Exclusion Criteria:
1. There were diseases of immune, endocrine, nervous and mental system before operation, and serious dysfunction of heart, liver and kidney;
2. Take immunosuppressive drugs and non steroidal anti-inflammatory drugs before operation;
3. Respiratory tract infection (cough, expectoration, suffocation, etc.) in recent 1 month; pneumonia, bronchitis, etc. on CT;
4. History of chronic pulmonary disease, including but not limited to asthma, pulmonary abscess, tuberculosis, chronic bronchitis, etc;
5. FEV1 < 50%;
6. Oxygen saturation was lower than 90% and airway pressure was higher than 40 cm H20;
7. Continuous hypotension or hypertension during the operation; intraoperative blood loss > 1000ml;
8. Allergic to methylprednisolone or dihydroxypropyltheophylline;
9. There are any other situations that the researchers think are not suitable for inclusion.
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D008775 | Methylprednisolone |
| ID | Term |
|---|---|
| D011239 | Prednisolone |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Placebo | Drug | Placebo |
|
| D013256 |
| Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |