Effect of xenon-oxygen inhalations on functional status of cardiovascular system in oncological patients suffering chronic pain syndrome

V. Potievskaya, G. Abuzarova, R. R. Sarmanaeva, A. Loboda, M. Potievskiy, S. Kuznetsov, A. Kaprin
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引用次数: 1

Abstract

Purpose of the study. Assessment of xenon-oxygen inhalations effect on functional status of cardiovascular system in oncological patients with chronic pain syndrome.Materials and methods. Randomized double-blinded placebo-controlled clinical trial with assessment of xenon-oxygen inhalations effect on electrocardiogaram, blood pressure and heart rate was performed in oncological patients with chronic pain syndrome received analgetic drug therapy. 48 of them were in the main group and received xenon-oxygen-air mixture containing 50 % xenon and 50 % oxygen twice a day during 7 visits, and other 47 were in control group and received oxygen-air mixture containing 50 % oxygen. Level of pain severity according to numerical rating scale and satisfaction of patients on the base of questionary were also assessed.Results. No significant negative effects of xenon on electrocardiogaram were revealed. In the main group alike the control group the QT intervals did not increase. There were multidirectional changes of T-wave without clinical symptoms in main and control groups. Xenon had no influence on heart rate but lead to statistically significant systolic and diastolic blood pressure decrease. Pain severity was significantly alleviated in the main group from 50 [40; 60] to 40 [25; 50]%; p < 0,05. Satisfaction of the patients in xenon group was 71 % vs 11 % in control group; p = 0,0001.Conclusion. Xenon-oxygen inhalations had no negative side effects on electrocardiogram, blood pressure and heart rate in oncological patients with chronic pain syndrome. Xenon inclusion in complex therapy increased effectiveness of pain treatment and satisfaction of the patients.
氙氧吸入对慢性疼痛综合征肿瘤患者心血管系统功能状态的影响
研究目的:氙氧吸入对肿瘤慢性疼痛综合征患者心血管系统功能状态的影响。材料和方法。采用随机双盲安慰剂对照临床试验,评价氙氧吸入对慢性疼痛综合征肿瘤患者心电、血压和心率的影响。其中48例为主组,接受含50%氙和50%氧气的氙气-氧气-空气混合物治疗,每天2次,共7次;47例为对照组,接受含50%氧气的氧气-空气混合物治疗。根据数值评定量表对患者的疼痛程度进行评定,并根据问卷对患者的满意度进行评定。氙气对心电图无明显负面影响。主组和对照组QT间期均未增加。对照组和对照组t波多向变化,无临床症状。氙气对心率没有影响,但会导致有统计学意义的收缩压和舒张压下降。主组疼痛程度从50[40]显著减轻;60] ~ 40 [25;50] %;P < 0.05。氙气组患者满意度为71%,对照组为11%;p = 0,000。氙气-氧气吸入对慢性疼痛综合征肿瘤患者的心电图、血压和心率无不良影响。氙气复合治疗可提高疼痛治疗的有效性和患者的满意度。
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