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围术期镇痛对肿瘤患者免疫功能影响的研究进展 被引量:7

Advancement in researches of the effects of perioperative analgesia on immune function of cancer patients
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摘要 恶性肿瘤患者围术期存在免疫功能抑制,且术后疼痛可抑制机体免疫功能.有效的术后镇痛能缓解围术期机体免疫功能抑制,并减少肿瘤复发转移.然而,不同镇痛药物及镇痛方式对机体免疫功能的影响不尽相同.本文就不同镇痛药物及镇痛方式对恶性肿瘤患者围术期免疫功能影响的研究进展作一综述,以期为肿瘤患者提供更合适的术后镇痛方案,有利于术后免疫平衡调节,减少肿瘤复发风险并改善预后. Perioperative immunosuppression exists in cancer patients are as a result of their own disease,and postoperative pain inhibit immunological function.The effective postoperative analgesia can relieve the suppression of cell-mediated immunity,as well as reducing tumor recurrence and metastasis.However,diverse range of analgesic agents and techniques have a different impact on immune function.This article reviews the influence of various analgesic agents and techniques on the perioperative immune function of cancer patients so as to provide more suitable analgesia techniques,which is beneficial for regulating of immune balance,lessening tumor recurrence and improving prognosis.
出处 《国际外科学杂志》 2014年第12期845-849,共5页 International Journal of Surgery
基金 基金项目:国家自然科学基金面上项目(No.81172364) 安徽省科技攻关资助项目(No.1301042199) 安徽省卫生厅医学科研重点基金资助项目(No.2010A006)
关键词 镇痛 免疫 肿瘤 围术期 Analgesia Immunity Neoplasms Perioperative period
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  • 1霍星,李志学,姜丽华,王华民,王立萍,曲仁海,王国年.上胸段硬膜外阻滞对大鼠脑缺血再灌注损伤的作用[J].中华麻醉学杂志,2006,26(8):710-713. 被引量:8
  • 2董有静,姚鹏,崔健君.硬膜外阻滞对妊高征大鼠子宫、胎盘组织CD4^+及CD8^+T淋巴细胞的影响[J].中华麻醉学杂志,2007,27(6):518-520. 被引量:1
  • 3Llovet JM. Updated treatment approach to hepatocellular carcinoma [J]. J Gastroenterol, 2005,40(3) :225-235.
  • 4Ben-Eliyabu S. The price of anticancer intervention. Does surgery promote metastasis[J] ? Lancet Oncol,2002,3(9):578-579.
  • 5Kouraklis G, Glinavou A, Raftopoulos L, et al. Epidural analgesia attenuates the systemic systemic stress response to upper abdominal surgery: a randomized trial[J]. Int Surg,2000,85(4):353-357.
  • 6Pirenne J, Kitade H, Kawai M, et al. Regulatory cells, TH1/TH2 unbalance, and antibody-induced chronic rejection in operational tolerance induced by donor-specific blood transfusion [ J ]. Transplantation, 2005,79 (3 Suppl) : S25-S27.
  • 7Yang R, Rescorla FJ, Reilly CR, et al. A reproducible rat liver cancer model for experimental therapy : introducing a technique of intrabepatic tumor implantation [ J ]. J Surg Res, 1992,52 (3) : 193-198.
  • 8Appleman LJ, Tzachanis D, Grader-Beck T, et al. Helper T cell anergy: from biochemistry to cancer pathophysiology and therapeutics [J] .J Mol Med,2011,78(12):673-683.
  • 9Nakayamada S, Takahashi H, Kanno Y, et al. Helper T cell dive- rsity and plasticity[J]. Curt Opin Immunol,2012,24 (3) : 297-302.
  • 10Hiura T, Kagamu H, Miura S, et al. Both regulatory T cells and antitumor effector T cells are primed in the same draining lymph nodes during tumor progression[J]. J Immunol, 2005,175(8) :5058- 5066.

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  • 1段砺瑕,李晓玲.氟比洛芬酯注射液的药理作用及临床应用[J].中国新药杂志,2004,13(9):851-852. 被引量:601
  • 2谭诗生,李杭,罗健,陈南江,宋毅,姜桂林,杨飞月.欧洲癌症研究与治疗组织研制的生活质量核心调查问卷第3版中文版生活质量调查问卷测评[J].中国临床康复,2006,10(4):23-27. 被引量:303
  • 3Bharti N, Kumar P, Bala I, et al. The efficacy of a novel approach to transversus ahdominis plane block for postopera- tive analgesia after colorectal surgery[J]. Anesth Analg, 2011,112(6) : 1504-1508.
  • 4Dewinter G, Van de Velde M, Fieuws S, et al. Transversus abdominis plane block versus perioperative intravenous lidocaine versus patient-control|ed intravenous morphine forpostoperative pain control after laparoscopic co|orectal surgery: study protocol for a prospective, randomized, double- blind controlled clinical trial[J]. Trials, 2014,15 : 476.
  • 5Shakhar G, Ben-Eliyahu S. Potential prophylactic measures against postoperative immunosuppression: could they reduce recurrence rates in oncological patients[J]? Ann Surg Oncol, 2003,10(8) : 972-992.
  • 6Cata JP, Bauer M, Sokari T, et al. Effects of surgery, general anesthesia, and perioperative epidural analgesia on the immune function of patients with non-small cell lung cancer [J]. J Clin Anesth,2013,25(4) :255-262.
  • 7Chang MC, Fan SZ, Hsiao PN, et al. Influence of morphine on host immunity[J]. Acta Anaesthesiol Taiwan, 2011,49 (3): 105-108.
  • 8Colacchio TA, Yeager MP, Hildebrandt LW. Perioperativeimmunomodulation in cancer surgery[J]. Am J Surg, 1994, 167(1) : 174-179.
  • 9Kuchinsky S, Ascher J. Postoperative multimodal pain management[J]. Lab Anim(NY), 2015,44(4) : 132-134.
  • 10Young MJ, Gorlin AW, Modest VE, et al. Clinical implications of the transversus abdominis plane block in adults[J]. Anes- thesiol Res Pract, 2012,2012 .. 731-645.

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