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作 者:高洁[1,2] 党庆庆[3] 刘俊丽 杨娜 张静 张华华[1] GAO Jie;DANG Qingqing;LIU Junli;YANG Na;ZHANG Jing;ZHANG Huahua(Medical Research and Experimental Center,Medical College,Yan′an University,Yan′an 716000,China;Department of Surgical Anesthesiology,Yan′an University Affiliated Hospital,Yan′an 716000,China;Department of Surgical Anesthesiology,Yan′an People′s Hospital,Yan′an 716000,China)
机构地区:[1]延安大学医学院医学研究实验中心,陕西延安716000 [2]延安大学附属医院手术麻醉科,陕西延安716000 [3]延安市人民医院手术麻醉科,陕西延安716000
出 处:《医学综述》2023年第23期5233-5239,共7页Medical Recapitulate
基 金:国家自然科学基金(82060521,81860444);陕西省自然科学基础研究计划(2020JQ-801);陕西省教育厅专项科研计划项目(20JK0986);陕西省创新能力支撑计划(2020TD-039)。
摘 要:消化系统肿瘤的发病率和病死率均较高,是影响国人健康的重要系统性疾病。目前手术仍然是消化系统肿瘤患者最主要的治疗方法。静脉麻醉药物是外科手术中广泛使用的药物,其通过调节多种信号通路、下游分子、非编码RNA的表达抑制消化系统肿瘤细胞的增殖、迁移和侵袭等,发挥抗癌作用。此外,静脉麻醉药物也可与抗肿瘤药物发挥协同作用。未来还需要更多大型前瞻性多中心研究,以为指导消化系统肿瘤手术中麻醉剂的选择提供依据。The incidence and mortality of digestive system tumors are both high,and they are major systemic diseases that affect the health of Chinese people.Currently,surgery is still the main treatment for patients with digestive system tumors.Intravenous anesthetics are widely used drugs in surgical procedures,which exert their anticancer effects by regulating the expression of various signaling pathways,downstream molecules,and non-coding RNA to inhibit the proliferation,migration and invasion of digestive system tumor cells.In addition,intravenous anesthetics can also have synergistic effects with anti-tumor drugs.In the future,more large-scale prospective multicenter studies are needed to provide a basis for guiding the selection of anesthetics in surgeries for digestive system tumors.
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