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Effect and Mechanism of Remimazolam Benzenesulfonate on Enhanced Recovery After Surgery in Patients Undergoing Radical Gastrectomy for Gastric Cancer

Effect and Mechanism of Remimazolam Benzenesulfonate on Enhanced Recovery After Surgery in Patients Undergoing Radical Gastrectomy for Gastric Cancer

Recruiting
18-75 years
All
Phase N/A

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Overview

The purpose of this study is to discuss the benzene sulfonic acid red horse azole shimron the occurrence of postoperative complications in patients with gastric cancer radical and its severity, at the same time, comparing the control group (propofol) the degree of inflammation in patients with different time points difference, preliminary in this paper, the benzene sulfonic acid red horse azole shimron in gastric cancer radical viscera molecular mechanism of protection and quick recovery.

Description

A total of 60 patients undergoing radical gastrectomy for gastric cancer were randomly divided into control group (group P) and experimental group (group R), with 30 cases in each group. Two groups are made by way of BIS target controlled infusion of anesthesia, experimental group (R group) target controlled infusion red horse azole shimron, control group (P group) target controlled infusion of propofol, BIS values are controlled in 50 + 5, postoperative observation of dynamic changes of inflammatory cytokines in plasma, postoperative adverse reactions, postoperative recovery, postoperative 30-day mortality and postoperative complications.

Through statistical analysis, it is proposed that remazolam can stabilize perioperative hemodynamic fluctuation, improve postoperative recovery, reduce the release of inflammatory mediators, reduce complications, shorten the length of hospital stay, reduce hospitalization costs, and accelerate the rapid recovery of patients with radical gastrectomy. It is proved that remazolam besylate can reduce the inflammatory response of patients undergoing radical gastrectomy, reduce the incidence of postoperative complications, and provide a favorable supplement to ERAS in patients undergoing radical gastrectomy. At the same time provide more red horse azole shimron, applied to the systemic narcotic induction and maintenance of cases and further added red horse azole shimron applied to clinical usage and dosage (by age, gender, race, obesity status, ASA grade and weight the effect of covariate), adverse reactions, and other commonly used anesthetic synergy.

Eligibility

Inclusion Criteria: Sixty patients undergoing elective laparoscopic radical gastrectomy for

gastric cancer; aged 18-75 years; ASA≤ⅲ .

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        Exclusion Criteria: Emergency surgery or non-radical gastrectomy patients; age < 18 or > 75
        years old, ASA grade ≥IV. Benzodiazepines or other narcotic drug allergy patients; patients
        with neurological and psychiatric disorders, long-term use of sedatives or antidepressants;
        has a history of alcoholism or drug dependence; intraoperative find distant metastasis;
        receive radiation and chemotherapy, cachexia; patients with a history of other malignant
        tumors within five years; the patient refused to participate in the study.
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Study details
    Remimazolam Benzenesulfonate on Nenhanced Recovery After Surgery
    Possible Molecular Mechanism of Remimazolam Benzenesulfonate

NCT05559151

Zhonghua Chen,MD

27 January 2024

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