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复方丙泊酚纳米乳对胰腺癌患者免疫功能的影响。

Effect of Compound Propofol Nanoemulsion on Immune Function in Patients with Pancreatic Cancer.

机构信息

Department of Anesthesia, Linyi Central Hospital, Linyi City, 276400, Shandong Province, China.

出版信息

J Nanosci Nanotechnol. 2021 Feb 1;21(2):1390-1396. doi: 10.1166/jnn.2021.18661.

Abstract

Pancreatic cancer is a common malignant tumor of the digestive system, and its incidence is increasing worldwide. The treatment of pancreatic cancer is mainly surgery, but the development of traditional surgery, chemoradiotherapy has entered the plateau stage, and immunotherapy has received more and more attention. Different anesthesia methods, anaesthetic drugs and their preparations have different effects on the perioperative immune function of patients with pancreatic cancer, and even affect the long-term prognosis of patients. Suppression of immune function caused by surgery and anesthesia may promote tumor recurrence and metastasis, thereby affecting the longterm prognosis of patients. The use of propofol intravenous anesthesia during surgery can reduce pro-inflammatory factors and increase anti-inflammatory factors, thereby effectively improving the immune function of perioperative tumor patients. At the same time, using nanoemulsion as a carrier in a drug delivery system can improve the solubility and loading capacity of poorly soluble drugs, and increase the absorption rate and bioavailability of fat-soluble drugs in the body. Therefore, in this study, a combination of propofol nano-injection and remifentanil injection liquid combined with propofol nanoemulsion preparation and propofol injection alone was used in the operation of pancreatic cancer patients. By comparing the two groups of patients Basic indicators during and after surgery, hemorheology levels, lymphocyte subsets, and proinflammatory cytokines, to study the use of the compound propofol nanoemulsion preparation in patients with pancreatic cancer during surgery Effects of immune function. The results showed that compound propofol nanoemulsion can improve the immune function of patients with pancreatic cancer during surgery, reduce the level of inflammatory factors, and has a good prognosis and high safety.

摘要

胰腺癌是消化系统常见的恶性肿瘤,其发病率在全球范围内呈上升趋势。胰腺癌的治疗主要是手术,但传统的手术、放化疗发展已进入平台期,免疫治疗受到越来越多的关注。不同的麻醉方法、麻醉药物及其制剂对胰腺癌患者围手术期免疫功能有不同的影响,甚至影响患者的长期预后。手术和麻醉引起的免疫功能抑制可能促进肿瘤复发和转移,从而影响患者的长期预后。在手术中使用异丙酚静脉麻醉可以减少促炎因子,增加抗炎因子,从而有效改善围手术期肿瘤患者的免疫功能。同时,使用纳米乳液作为药物传递系统的载体可以提高难溶性药物的溶解度和载药量,并增加体内脂溶性药物的吸收速率和生物利用度。因此,本研究在胰腺癌患者的手术中联合使用异丙酚纳米注射剂和瑞芬太尼注射液,结合异丙酚纳米乳液制剂和异丙酚注射剂单独使用,通过比较两组患者手术期间和手术后的基本指标、血液流变学水平、淋巴细胞亚群和促炎细胞因子,研究复合异丙酚纳米乳液制剂在胰腺癌患者手术中对免疫功能的影响。结果表明,复合异丙酚纳米乳液可以改善胰腺癌患者手术期间的免疫功能,降低炎症因子水平,具有良好的预后和较高的安全性。

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