静吸复合与全凭静脉2种麻醉方式对乳腺癌炎性细胞因子的影响

Influence of intravenous inhalation anesthesia and total intravenous anesthesia on inflammatory cytokines of patients with breast cancer

  • 摘要: 目的:探讨静吸复合麻醉及全凭静脉麻醉2种麻醉方式对乳腺癌患者炎性细胞因子的影响。方法选取2011年11月-2012年10月在本院乳腺外科行手术治疗132例乳腺癌患者,随机分为A(静吸复合组,n=66)、B(全凭静脉组,n=66)2组,分别给予静吸复合麻醉与全凭静脉麻醉,于麻醉前、术后4h、术后6h进行血白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)检测并对比分析。结果2组患者IL-6、TNF-α水平均显著增高(P<0.05),术后6hA组IL-6显著高于B组(P<0.01),术后4h、6hA组TNF-α均显著高于B组(P<0.01)。结论全凭静脉麻醉在乳腺癌患者中能够更好地抑制术后血清IL-6及TNF-α等炎性细胞因子的增高,避免过度应激反应,值得推广。

     

    Abstract: Objective To explore the influence of intravenous inhalation anesthesia and to-tal intravenous anesthesia on inflammatory cytokines of patients with breast cancer.Methods 132 breast cancer patients treated with operation were randomly divided into group A(intravenous in-halation anesthesia,n =66)and group B(total intravenous anesthesia,n =66).Levels of IL-6 and TNF-αwere detected and compared in both groups.Results After the operation,the levels of IL-6 and TNF-αwere significantly higher than those before the operation in both groups(P <0.05). IL-6 level in the group A was significantly higher than group B at the time of 6 hours after the op-eration(P <0.01),and TNF-αwere significantly higher than group B at the time points of 4 and 6 hours after the operation (P <0.01).Conclusion Total intravenous anesthesia can suppress the postoperative increasing of serum IL-6,TNF-αand other inflammatory cytokines in patients with breast cancer in order to avoid excessive stress,so it is worthy of popularization.

     

/

返回文章
返回