比较不同麻醉方法对肝癌患者术后免疫功能和肝功能的影响

IF 6.5 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Biotechnology & Genetic Engineering Reviews Pub Date : 2024-11-01 Epub Date: 2023-04-17 DOI:10.1080/02648725.2023.2201521
Xi Feng, Yao Ma, Jun Yang, Pai Peng, Xiaohua Zeng, Lei Shen, Tingting Hu, Qin Luo
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引用次数: 0

摘要

肝癌是最常见的恶性肿瘤之一,严重威胁着人们的身心健康。本文旨在研究两种不同麻醉方式对肝癌切除术患者肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)和T淋巴细胞亚群的作用,探讨肝癌手术对患者肝功能的影响。将80例肝癌患者分为丙泊酚静脉麻醉组和七氟醚吸入麻醉组。计算患者手术相关指标以及麻醉前、麻醉后、麻醉后1天、麻醉后3天的TNF-α、CRP和T淋巴细胞亚群的变化。术后两组的 TNF-α 和 CRP 水平均明显高于麻醉前,但两组间无明显差异。术后,丙泊酚静脉麻醉组的TNF-α低于七氟醚吸入麻醉组。术后3天,两组的CD3+、CD4+和CD4+/CD8+水平均恢复到麻醉前水平。丙泊酚静脉麻醉组和七氟醚吸入麻醉组的谷丙转氨酶(ALT)、谷草转氨酶(AST)、谷草转氨酶(ALB)和谷草转氨酶(TBIL)水平在术后第4天均恢复正常。与依弗鲁烷吸入麻醉治疗肝癌患者相比,丙泊酚静脉麻醉能在一定程度上减轻机体的炎症反应,对T淋巴细胞免疫功能的抑制作用较弱,对肝功能的影响较小。
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Comparison of effects of different anesthesia methods on immune function and liver function of liver cancer patients after operation.

Liver cancer, one of the most common malignant tumors, has seriously threatened people's physical and mental health. The paper was conducted to investigate the functions of two different anesthesia methods on Tumor necrosis factor-α (TNF-α), C-reactive protein (CRP) and T lymphocyte subsets in patients undergoing liver cancer resection, and to explore the liver function impact of patients undergoing liver cancer surgery. 80 liver cancer patients were split into propofol intravenous anesthesia group and sevoflurane inhalation anesthesia group. The patient's operation-related indicators and changes in TNF-α, CRP and T lymphocyte subsets before anesthesia, after anesthesia, 1 day after anesthesia, and 3 days after anesthesia were calculated. The levels of TNF-α and CRP in the two groups after operation were clearly higher than those before anesthesia, but there was no obvious difference between the two groups. After operation, the TNF-α of the propofol intravenous anesthesia group was lower than the sevoflurane inhalation anesthesia group. The CD3+, CD4+ and CD4+/CD8+ levels in both groups recovered to the pre-anaesthesia level 3 days after the operation. The levels of ALT, AST, ALB and TBIL returned to normal at d4 in both propofol intravenous anesthesia and sevoflurane inhalation anesthesia groups. Compared with evoflurane inhalation anesthesia for patients with liver cancer, intravenous anesthesia with propofol can reduce the body's inflammatory response to a certain extent, has weak inhibitory effect on T lymphocyte immune function, and a smaller effect on liver function.

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来源期刊
Biotechnology & Genetic Engineering Reviews
Biotechnology & Genetic Engineering Reviews BIOTECHNOLOGY & APPLIED MICROBIOLOGY-GENETICS & HEREDITY
CiteScore
6.50
自引率
3.10%
发文量
33
期刊介绍: Biotechnology & Genetic Engineering Reviews publishes major invited review articles covering important developments in industrial, agricultural and medical applications of biotechnology.
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