实用医学杂志2017，Vol.33Issue(12)：2016-2018,3.DOI:10.3969/j.issn.1006-5725.2017.12.032
右美托咪定对肝癌患者围术期细胞免疫功能的影响
Effect of dexmedetomidine on perioperative cell immune function in patients undergoing hepatoma sur-gery
摘要
Abstract
Objective To investigate the effect of dexmedetomidine on perioperative cell immune function in patients undergoing hepatoma surgery. Methods Sixty patients (40-65 y/o, 50-80 kg body weight, ASA grad-ing I-II) with hepatoma were allocated into two groups each containing 30 patients:control group (group C) and dex-medetomidine group (group D). 15 minutes before anesthesia induction, a loading dose of dexmedetomidine 0.5μg/kg was injected intravenously, followed by infusion at 0.4μg/(kg · h)until the end of operation in group D. The equal volume of normal saline was administered in group C.Blood samples were obtained from jugular vein before induc-tion of anesthesia (T0), the end of operation(T1) and 24 h after the end of surgery (T2) for detections of the levels of T lymphocyte subsets (CD3+, CD4+, CD8+) and NK cells by flow cytometry. CIM+/CD8+ratio was calculated. Serum IL-2 and IL-10 were detected by ELISA methods. Results When compared with the baseline value (T0), the levels of CD3+, CD4+, CD4+/CD8+ratio and NK cells significantly decreased at T1 and T2 in group C, and the levels of CD3+and CD4+also significantly decreased at T1 and T2 in group D (P<0.05). Compared with group C, the levels of CD3+, CD4+, NK cells and IL-2 at T1 and T2 were significantly higher in group D, and level of IL-10 at T1 and T2 were significantly lower in group D (P < 0.05). Conclusion Dexmedetomidine could improve the postoperative suppression of immune function in patients undergoing hepatoma surgery.关键词
右美托咪啶/肝癌切除术/细胞免疫功能Key words
Dexmedetomidine/Hepatoma surgery/Immune function引用本文复制引用
黄以庭,罗慧,冯雅薇,沈宁..右美托咪定对肝癌患者围术期细胞免疫功能的影响[J].实用医学杂志,2017,33(12):2016-2018,3.基金项目
广东省科技计划项目(编号:2011B031800061) （编号:2011B031800061）
