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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Beijing Jishuitan Hospital, Beijing, China. yang_qingguo@hotmail.com
authors.forename: Qing-guo
authors.initials: QG
authors.lastname: Yang
authors.forename: Yan-nan
authors.initials: YN
authors.lastname: Hang
authors.forename: Da-jin
authors.initials: DJ
authors.lastname: Sun
authors.forename: Xi-ming
authors.initials: XM
authors.lastname: Chen
authors.forename: Xiang-rui
authors.initials: XR
authors.lastname: Wang
authors.forename: Can-ran
authors.initials: CR
authors.lastname: Xu
authors.forename: Jian-ling
authors.initials: JL
authors.lastname: Yao
mesh_terms: D015667:Acupuncture Analgesia; D000328:Adult; D006348:Cardiac Surgical Procedures; D015671:Electroacupuncture; D005260:Female; D006801:Humans; D007371:Interferon-gamma / Q000097:blood*; D016753:Interleukin-10 / Q000097:blood*; D007376:Interleukin-2 / Q000097:blood*; D015850:Interleukin-6 / Q000097:blood*; D008297:Male; D008875:Middle Aged
chemical_list: D007376:Interleukin-2; D015850:Interleukin-6; D016753:Interleukin-10; D007371:Interferon-gamma