在麻醉领域里

关于麻醉与免疫

国内外也屡见报导。不过已往的学者多采用单一的麻醉药或一种麻醉术。根据近几年临床上多采用复合麻醉的实际情况

我们观察了强化硬膜外麻醉和针药结合麻醉手术对T细胞功能、血清中的补体和免疫球蛋白的水平The effects of the combined anesthesia of drug and acupuncture on the immune function in 22 patients necessitating gastrectomy or hysterectomy were observed. As a control

the patients were anesthetized by potential epidural anesthesia. The subjects under study were selected to meet the demand of the experiment. The hepatic

renal and endocrine functions of the patient should be normal. Among the 22 cases

5 were male and 17 female. Age varied between 25 and 58 years. The patients were divided into two groups of eleven each Each. patient in the potential epidural anesthesia group(control)received 15-25 ml mixed solution which was composed of 1.6%lidocaine and 0.2% dicaine. They also received innovar(Fentenyl 0.1 mg and Haloperidol 5mg). In addition

patients in the combined anesthesia were needled at the two Futu points

connecting the apparatus for acupuncture anesthesia. The rates of E-rosette formation and total rosette formation

the total leukocytic count

the percentage of neutrophilic leukocytes and lymphocytes

the IgG

IgA

IgM

C_3 CH50 level of the patients were measured before anesthesia

20 minutes after innovar administration

one hour after incision of the skin aud 24 hours after operation. The results obtained were compared with those of the controls. It appears that There were no significant effects on humoral immunity in both methods of anesthesia. The combined anesthesia seems to enhance the function of nonspecific immunity and depress the specific cell-mediated immunity.