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Clinical implication of perioperative inflammatory cytokine alteration

机译:围手术期炎症细胞因子改变的临床意义

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Cytokines are key modulators of inflammatory responses, and play an important role in the defense and repair mechanisms following trauma. After traumatic injury, an immuno-inflammatory response is initiated immediately, and cytokines rapidly appear and function as a regulator of immunity. In pathologic conditions, imbalanced cytokines may provide systemic inflammatory responses or immunosuppression. Expression of perioperative cytokines vary by different intensities of surgical trauma and types of anesthesia and anesthetic agents. Inflammatory cytokines play important roles in postoperative organ dysfunction including central nervous system, cardiovascular, lung, liver, and kidney injury. Inhibition of cytokines could protect against traumatic injury in some circumstances, therefore cytokine inhibitors or antagonists might have the potential for reducing postoperative tissue/organ dysfunction. Cytokines are also involved in wound healing and post-traumatic pain. Application of cytokines for the improvement of surgical wound healing has been reported. Anesthesia-related immune response adjustment might reduce perioperative morbidity because it reduces proinflammatory cytokine expression; however, the overall effects of anesthetics on postoperative immune-inflammatory responses needs to be further investigated.
机译:细胞因子是炎性反应的关键调节剂,并在创伤后的防御和修复机制中起重要作用。创伤性损伤后,立即引发免疫炎症反应,并迅速出现细胞因子并起免疫调节剂的作用。在病理情况下,细胞因子失衡可能会提供全身性炎症反应或免疫抑制。围手术期细胞因子的表达因手术创伤的强度以及麻醉剂和麻醉剂的类型而异。炎性细胞因子在术后器官功能障碍中起重要作用,包括中枢神经系统,心血管,肺,肝和肾损伤。在某些情况下,细胞因子的抑制可以防止创伤,因此细胞因子抑制剂或拮抗剂可能具有减轻术后组织/器官功能障碍的潜力。细胞因子也参与伤口愈合和创伤后疼痛。已经报道了细胞因子在改善外科伤口愈合中的应用。麻醉相关的免疫反应调节可能会降低围手术期的发病率,因为它会降低促炎细胞因子的表达。然而,麻醉剂对术后免疫炎症反应的总体效果有待进一步研究。

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