Detail information
ID ENCL000119
Year 2006
Disease Heart Septal Defects, Atrial
Surgery Cardiac Surgical Procedures
Acupoint
Acupoint Code
Neiguan PC6
Lieque LU7
Yunmen LU2
Side
Description
Experimental Description Thirty patients with atrial septal defect were divided into 3 groups, general anesthesia group (A), acupuncture anesthesia group (B) and combined general anesthesia and EA group (C).
Sample Count 30
Age 19-55
Control
Std
anesthesia group (A)(n=10)
Experiment acupuncture anesthesia group (B)(n=10);combined general anesthesia and EA group (C)(n=10)
Indicator IFN-γ IL-2 IL-6 IL-10
Auxiliary Medication Floperidol;Fentanyl;Lidocaine
Stimulation Method EA
Anesthesia Method
AAA
Clinical Trial Type
Contraindications Obvious infections, malignant lesions, endocrine and immunological disorders, etc
Effector The levels of IFN-gamma and IL-2 decreased in the 3 groups after CPB and further decreased 24 h after operation, and in the group C were higher than those in the group B. The levels of IL-6 and IL-10 significantly increased 24 h after operation in the 3 groups with no significant difference among the 3 groups. The general anesthesia combined with EA can not completely improve the decrease of IFN-gamma and IL-2 induced by CPB, indicating that the good response of the general anesthesia combined with EA to stress can partially improve the immunosupression induced by CPB. Acupuncture does not have significant effect on inflammatory cytokine reaction induced by cardiac surgery.
Literature
PMID 16903604
Title "[Changes of IFN-gamma, IL-2, IL-6 and IL-10 in the patient with cardiac surgery under combined acupuncture anesthesia]."
Abstract OBJECTIVE: To observe the effect of electroacupuncture (EA) on cytokines in the cardiac surgical patient and to evaluate the application of combined acupuncture anesthesia to cardiac surgery. METHODS: Thirty patients with atrial septal defect were divided into 3 groups, general anesthesia group (A), acupuncture anesthesia group (B) and combined general anesthesia and EA group (C). Peripheral blood samples were collected before anesthesia, before cardiopulmonary bypass (CPB), 30 min after CPB and 24 h after operation to determine the levels of interferon-gamma (IFN-gamma), interleukin-2 (IL-2), IL-6 and IL-10. RESULTS: The levels of IFN-gamma and IL-2 decreased in the 3 groups after CPB and further decreased 24 h after operation, and in the group C were higher than those in the group B. The levels of IL-6 and IL-10 significantly increased 24 h after operation in the 3 groups with no significant difference among the 3 groups. CONCLUSION: The general anesthesia combined with EA can not completely improve the decrease of IFN-gamma and IL-2 induced by CPB, indicating that the good response of the general anesthesia combined with EA to stress can partially improve the immunosupression induced by CPB. Acupuncture does not have significant effect on inflammatory cytokine reaction induced by cardiac surgery."
Souce Zhongguo Zhen Jiu. 2006 Jul;26(7):503-6.