针药复合麻醉对体外循环心脏手术患者红细胞免疫功能的影响  

Effect of acupuncture-drug compound anesthesia on erythrocyte immunity in patients undergoing open heart surgery under cardiopulmonary bypass

作　　者：王义桥 王立奎[1] 吴振[1] 李元海[1] 

机构地区：[1]安徽医科大学第一附属医院麻醉科,合肥230022

出　　处：《安徽医科大学学报》2012年第7期876-878,共3页Acta Universitatis Medicinalis Anhui

基　　金：安徽省卫生厅青年基金项目(编号:09B125)

摘　　要：选择二尖瓣置换术患者40例,随机分为针刺辅助全麻组(A组)、全麻组(B组),测定红细胞C3b受体花环率(RBC-C3bRR)、红细胞免疫复合物花环率(RBC-ICR)、丙二醛(MDA)、超氧化物歧化酶(SOD)。两组RBC-C3bRR及SOD于CPB结束开始回升,到术后24 h仍未达到术前水平,但A组高于B组(P<0.01);两组RBC-ICR及MDA于CPB结束后开始下降,A组低于B组(P<0.01),到术后24 h A组接近术前水平。针刺辅助全麻对体外循环下心脏手术患者红细胞免疫功能有一定的保护作用。Forty cases undergoing mitral valve replacement were randomly divided into acupuncture auxiliary anes- thesia group （group A） and anesthesia group （group B）. Red blood cells C3b receptor rosette rate （RBC-C3bRR） , red blood cells immune complexes rosette rate （RBC-ICR）, superoxide dismutase （SOD） and malondialdehyde （MDA） were measured. RBC-C3bRR and SOD began to pick up at the end of cardiopulmonary bypass（ CPB）, and had not yet reached the level of preoperative 24 hours after surgery, group A was significantly higher than those of group B（P 〈0. 01 ） ; RBC-ICR and MDA began to fall at the end of CPB, group A was significantly lower than those of group B（P 〈0.01 ） , and group A recovered to preanesthetic level 24 hours after surgery. The acupuncture compound general anesthesia could partially protect erythrocyte immunity against the harm induced by CPB.

关 键 词：针刺麻醉 体外循环 红细胞免疫功能 

分 类 号：R246.2[医药卫生—针灸推拿学]