“…In this study, TNF-α and IL-6 levels at T3, T4, and T5 were increased in the four groups, with the levels in the ODG being lower as compared with those in the OG, DG, and CG, while IL-2 levels at T3, T4, and T5 were decreased in the four groups, with the levels in the ODG being higher as compared with those in the OG, DG, and CG (p < 0.05), coinciding with prior reports (Mo and Qiu 2017). Among these records, the enhanced perioperative inflammation in patients receiving local anesthetized transforaminal endoscopic resection of nucleus pulposus was alleviated by the actions of dexmedetomidine combined with oxycodone, possibly through mechanisms related to dexmedetomidine suppressing stress reactions in such way that postsynaptic receptors were activated, sympathetic nerve activity was reduced, and the excitability in the sympathetic nervous system induced by the operative wound was blocked as well as related to oxycodone lowering the intracellular cyclic adenosine as well as disturbing the e synthesis, and release of inflammatory factors (Ok et al 2016;Wong et al 2018).…”