[Effects of acupuncture-drug compound anesthesia on perioperative inflammatory factors in patients undergoing cardiac surgery]

Zhongguo Zhen Jiu. 2010 Jul;30(7):585-8.
[Article in Chinese]

Abstract

Objective: To explore the effect of acupuncture-drug compound anesthesia on immune function in patients with extracorporeal circulation undergoing cardiac surgery.

Methods: Thirty cases undergoing cardiac surgery which included atrial septal defect neoplasty, ventricular septal defect neoplasty, mitral valve replacement and pulmonary valve coarctotomy were randomly divided into group A and group B, 15 cases in each group. Group A was given general anesthesia plus acupuncture at Neiguan (PC 6), Lieque (LU 7) and Yunmen (LU 2), and group B was given simple general anesthesia. Tumor necrosis factor-alpha (TNF-alpha), interleukin-2 (IL-2) and interleukin-10 (IL-10) levels before and after surgery were compared.

Results: The level of TNF-alpha was increased and the levels of IL-2 and IL-10 in the serum were decreased in both groups after extracorporeal circulation for 2 h and 24 h, and the ranges of all changes were more less in group A (all P < 0.05).

Conclusion: Compared with simple general anesthesia, acupuncture-drug compound anesthesia can improve immune suppression partially in the perioperative periods under the same conditions of controlling anesthesia degree.

Publication types

  • English Abstract
  • Randomized Controlled Trial

MeSH terms

  • Acupuncture Analgesia*
  • Adult
  • Anesthesia, General*
  • Cardiac Surgical Procedures
  • Female
  • Heart Diseases / blood
  • Heart Diseases / immunology*
  • Heart Diseases / surgery*
  • Humans
  • Inflammation Mediators / blood*
  • Interleukin-10 / blood
  • Interleukin-2 / blood
  • Male
  • Middle Aged
  • Perioperative Care
  • Tumor Necrosis Factor-alpha / blood
  • Young Adult

Substances

  • Inflammation Mediators
  • Interleukin-2
  • Tumor Necrosis Factor-alpha
  • Interleukin-10