参附注射液对自体血回输患者围术期体液免疫功能的影响(1)
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【摘要】 目的:探讨参附注射液对自体血回输患者围术期体液免疫功能的影响。方法:择期行脊柱手术患者40例,将其随机分成对照组(C组)和参附注射液组(SF组),每组20例。C组采用常规自体血回输法,SF组于术前3 d开始注射参附注射液50 ml,1次/d,连续3 d,术中于收集自体血前30 min,经5 min静脉输注参附注射液50 ml,并在回收血液的肝素盐水和洗涤盐水内加入参附注射液,每500 ml加入参附注射液25 ml。于麻醉诱导前(T0)、术后1 h(T1)、1 d(T2)及5 d(T3)时取静脉血样,采用ELISA法测定血清免疫球蛋白(IgG、IgM)的浓度;记录手术时间、术中出血量、回输血量。 结果:两组患者手术时间、术中出血量、回输血量比较差异均无统计学意义(P>0.05)。与T0时比较,对照组T1~T3时血清IgG和IgM浓度降低,SF组T 1、T2时血清IgG浓度降低(P<0.05),T3时差异无统计学意义,T1~T3时血清IgM浓度差异无统计学意义(P>0.05);与C组比较,SF组T2、T3时血清IgG浓度、T1~T3时血清IgM浓度升高(P<0.05)。结论:参附注射液可在一定程度上减轻自体血回输患者体液免疫抑制,改善体液免疫平衡状态。
【关键词】 参附注射液; 输血; 自体; 抗体生成
Effect of Shenfu Injection on Perioperative Humoral Immune Function in Patients Required for Autologous Blood Transfusion/ZHANG Xiao-xin,WU Lun,PENG Xue-qiang,et al.//Medical Innovation of China,2012,9(23):004-006
【Abstract】 Objective:To investigate the effect of Shenfu injection on humoral immune function in patients required for autologous blood transfusion. Method:Sixty ASAⅠ orⅡ patients undergoing elective spinal surgery were randomly divided into 2 groups (n=20 each):Shenfu group and control group.In Shenfu group, Shenfu injection 50 ml was infused intravenously over 5 min at 30 min before the autologous blood was collected. Shengfu injection was added to the heparinized saline and washing saline at the same time (25 ml) until the final concentration reached 0.005%. Shenfu injection was not given in control group. Venous blood samples were taken before anesthesia induction (T0) and at 1 h after operation (T1) ......
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