川芎嗪对自体血回输患者T淋巴细胞免疫功能的影响

目的 探讨川芎嗪对自体血回输患者T淋巴细胞免疫功能的保护作用。

Effect of Ligustrazine on T-lymphocyte Immunity in Patients Undergoing Autologous Blood Transfusion

Objective To evaluate the protective effect of ligustrazine on T-lymphocyte immunity of patients undergoing autologous blood transfusion （ABT）. Methods Forty American Society of Anesthesiologist （ASA） Ⅰ-Ⅱ patients scheduled for receiving selective lumbar surgery,with pre-operational anticipatory blood loss400 mL and without any diseases of blood or endocrinal system were enrolled. They were equally randomized into two groups,the trial group and the control group. Ligustrazine was given to patients in the trial group by intravenous dripping at the dose of 2 mg/kg,30 min before auto-blood collection,also by mixed in the washing saline and heparinized saline solution to make the final concentration of ligustrazine 0.005%. No ligustrazine was given to patients in the control group. The amount of blood loss and autotransfused were measured and recorded; and patients＇ venous blood samples for T-lymphocyte subsets （CD3,CD4,CD8） determination and CD4/CD8 ratio calculation were collected at different time points,i.e. before surgery （T0） and at 1 h （T1）,1st day （T2） and 5th day （T3） after ABT. Results CD3 decreased obviously at T1 and T2 in both groups （P0.05 or P0.01）,while at T3,it restored to baseline in the trial group,but remained at the low level in the control group （P0.05）. Moreover,levels of CD3 at T1-T3 were lower in the control group than those in the trial group respectively （P0.05 or P0.01）. CD4 decreased obviously at T1 （P0.01） in both groups,it recovered at T2 in the trial group,but the recovering in the control group was T3,so comparison of CD4 level between groupsshowed significant difference at T1 and T2 （P0.05 or P0.01）. As for CD4/CD8 ratio,it decreased obviously at T2 and T3 in the control group （P0.05）,but unchanged in the trial group,showing statistical difference between groups （P0.05）. Conclusion Ligustrazine had definite protective effect on T-lymphocyte immunity in patients undergoing ABT,which was presented by the milder inhibition and quicker recovery of immunity.