A method and solution for perioperatively inhibiting tumor cell adhesion and a variety of pain and inflammation processes at wounds from general surgical procedures including oral/dental procedures. The solution preferably includes at least one anti-tumor cell adhesion agent and multiple pain and inflammation inhibitory agents at dilute concentration in a physiologic carrier, such as saline or lactated Ringer's solution. The solution is applied by continuous irrigation of a wound during a surgical procedure for preemptive inhibition of pain and while avoiding undesirable side effects associated with oral, intramuscular, subcutaneous or intravenous application of larger doses of the agents. One preferred solution to inhibit tumor cell adhesion, pain and inflammation includes at least one anti-tumor cell adhesion agent, a serotonin
2
antagonist, a serotonin
3
antagonist, a histamine antagonist, a serotonin agonist, a cyclooxygenase inhibitor, a neurokinin
1
antagonist, a neurokinin
2
antagonist, a purinoceptor antagonist, an ATP-sensitive potassium channel opener, a calcium channel antagonist, a bradykinin
1
antagonist, a bradykinin
2
antagonist and a &mgr;-opioid agonist.
一种围手术期抑制肿瘤细胞粘附和一般外科手术(包括口腔/牙科手术)伤口处各种疼痛和炎症过程的方法和溶液。该溶液最好包括至少一种抗肿瘤细胞粘附剂和多种稀释浓度的疼痛和炎症
抑制剂,以生理载体(如生理盐
水或
乳酸林格氏液)为载体。该溶液可在手术过程中通过持续冲洗伤口来预先抑制疼痛,同时避免口服、肌肉注射、皮下注射或静脉注射大剂量药剂所带来的不良副作用。一种优选的抑制肿瘤细胞粘附、疼痛和炎症的方案包括至少一种抗肿瘤细胞粘附剂、一种
血清素
2
拮抗剂、5-羟
色胺
3
拮抗剂、
组胺拮抗剂、5-羟
色胺激动剂、环氧化酶
抑制剂、神经激肽
1
拮抗剂、神经激肽
2
拮抗剂、
嘌呤受体拮抗剂、
ATP 敏感
钾通道开放剂、
钙通道拮抗剂、
缓激肽
1
拮抗剂、
缓激肽
2
拮抗剂和阿片激动剂。