Perioperative Blood Glucose and Insulin
Conditions
Keywords
Dexmedetomidine perioperative blood glucose and insulin
Brief summary
Dexmedetomidine is a kind of high selectivity alpha 2 agonists adrenaline, can inhibit the activity of sympathetic nerve, alleviate pain,and improve cardiovascular stability in the operation period. Dexmedetomidine have influence on perioperative stress response and immune function,but it is not clear.
Interventions
general anesthesia induction: midazolam 0.1mg/Kg, sufentanil 1ug/Kg, cisatracurium 0.15mg/Kg, and then immediatly administrate etomidate 0.2 mg/Kg
inhale Isoflurane 1.5MAC
anesthesia induction period: intravenous pumping Dexmedetomidine 4ug/Kg/h; after 10 minutes,turn to 0.4ug/Kg/h.
the same volume of saline + Isoflurane during operation
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 60 to 80 years old; * Type 2 diabetes; * Not use insulin treatment; * Onging general anesthesia surgery; * Surgery time 1-3 hours
Exclusion criteria
* ASA classification \> class II; * Hypertension; * Serious central nervous system diseases (acute stroke, uncontrolled seizures, -Severe dementia); * Unstable angina and acute myocardial infarction; * Allergy to investigational drug; * Hepatic and renal dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| blood glucose | from the day before surgery to 24 hours after surgery | measure blood glucose at 3 time points,the day before surgery,Intraoperative(1 hour after surgery begain),one day after surgery(24 hours after surgery); examine the concentration of blood glucose in serum. |
| level of blood insulin | from the day before surgery to 24 hours after surgery | measure the level of blood insulin at 3 time points,the day before surgery,Intraoperative(1 hour after surgery begain),one day after surgery(24 hours after surgery); use ELISA to examine the concentration of blood insulin in serum. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| vital signs | duration of perioperative period | measure the blood pressure(BP),heart rate(HR) and oxygen saturation(SpO2) in the perioperative period |
Countries
China