Effects of Thoracic Epidural or Intravenous Analgesia on the Neutrophil-to-lymphocyte ratio in Thoracotomy Cases


ALKAN M., Erkent F., ÇELİK A., GÖKÇE A., ARSLAN M., ÜNAL Y.

NIGERIAN JOURNAL OF CLINICAL PRACTICE, cilt.21, sa.10, ss.1337-1340, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 21 Sayı: 10
  • Basım Tarihi: 2018
  • Doi Numarası: 10.4103/njcp.njcp_106_18
  • Dergi Adı: NIGERIAN JOURNAL OF CLINICAL PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1337-1340
  • Anahtar Kelimeler: Neutrophil-to-lymphocyte ratio, thoracic epidural, thoracotomy, NEUTROPHIL/LYMPHOCYTE RATIO, ATRIAL-FIBRILLATION, SURGERY, PAIN, PREDICTOR
  • Ankara Üniversitesi Adresli: Hayır

Özet

Background and Purpose: Postoperative pain is a significant problem in thoracotomy patients. Our aim in this study was to investigate the relationship between postoperative pain and neutrophil-to-lymphocyte ratio (NLR) which is a marker of acute inflammatory response. Materials and Methods: Thoracic epidural or intravenous analgesia was administered to thoracotomy patients who elected to undergo a planned surgery. Patients were divided into two groups according to the analgesia method applied postoperatively. Thoracic epidural analgesia was recorded as Group 1 and intravenous analgesia as Group 2. Whole blood counts were recorded from preoperative and postoperative 24th- and 48th-hour routine blood samples, and NLRs were recorded as retrospective file scanning. Postoperative 24th- and 48th-hour NLRs and preoperative NLR values were recorded. Results: Demographic data of the patients included in the study were similar except for age. Preoperative NLR was significantly higher in Group 1 at 3.50 (P = 0.004) than in Group 2 at 2.51. Postoperative NLRs were similar among both groups. Postoperative NLR values at both the 24th- and 48th-hour increased by4.9 times in Group 1 and 9.23 times in Group 2 from the 24th-hour preoperative period, when the preoperative NLRs were evaluated. The rate of increase in Group 1 was significantly lower than in Group 2 (P = 0.006). Conclusion: Postoperative NLR alterations when compared with preoperative values were related to the analgesic regimen used.