国际麻醉学与复苏杂志   2015, Issue (12): 4-4
    
肿瘤患者手术的麻醉临床应用研究进展
李晶, 余灵祥, 董刚1()
1.中国人民解放军第三O二医院麻醉手术中心
Progress in clinical application of anesthesia in patients with tumors
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摘要:

背景 对于实体肿瘤患者来说,外科手术仍然是主要的治疗手段之一。然而,手术本身所引起的应激反应会增加术中及术后肿瘤转移和复发的几率。研究表明麻醉药物及麻醉技术可能影响肿瘤患者的远期结局。目的 找出对肿瘤预后有益的麻醉方案。内容 就常用麻醉药物和麻醉技术对肿瘤患者远期预后的影响以及其病理生理机制进行综述。趋势 咪达唑仑、丙泊酚、依托咪酯、曲马多、非甾体抗炎药、雷米芬太尼、舒芬太尼、环氧化酶拮抗剂和β受体阻滞剂,以及区域阻滞麻醉能够减轻围手术期免疫抑制反应,可能成为实体肿瘤手术的最佳麻醉方案。

关键词: 麻醉 肿瘤 免疫抑制 手术
Abstract:

Background Surgery remains a mainstay of treatment for malignant tumours. However, surgical stress response increases the likelihood of cancer dissemination and metastasis during and after cancer surgery. Accumulated basis and clinical data indicate that anesthetics and anesthetic techniques could potentially affect the risk of recurrence and metastases . Objective Finding out the beneficial anesthetic solution to long-term consequence applied in oncology surgery. Content This article reviews the influence on the long-term prognosis for individuals with malignant tumours, of the common anesthetics and anesthetic techniques, and the pathophysiological mechanisms for this. Trend As well as regional anesthesia, Midazolam, Propofol, Etomidate, Tramadol, Non-steroidal anti-inflammatory drugs, Remifentanil, Sufentanil can decrease negative consequences associated with perioperative immunosuppression, which may be the optimal anesthesia scheme.

Key words: anesthesia , cancer, immunosuppression, surgery