Effect of dexmedetomidine combined with lumbar anesthesia on Th1/Th2 in maternal patients and neonates undergoing caesarean section

  • Authors:
    • Wentian Shi
    • Ping Zhang
  • View Affiliations

  • Published online on: June 4, 2019     https://doi.org/10.3892/etm.2019.7648
  • Pages: 1426-1432
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Abstract

The selection of anesthetic method and drugs is of utmost importance for patients undergoing caesarean section. The application of anesthetic drugs may affect the immune system of the maternal patient and neonate. Therefore, the present study aimed to analyze the effect of dexmedetomidine combined with lumbar anesthesia on type 1 T‑helper cells (Th1) and Th2 cytokines in mothers and their neonates undergoing caesarean section. A total of 60 females with full‑term pregnancies and an American Society of Anesthesiologists grade I or II who received caesarean section were selected and equally divided in a randomized manner into a control group receiving lumbar epidural anesthesia and a combination group treated by dexmedetomidine combined with lumbar epidural anesthesia. The visual analogue scale (VAS) score, adverse reactions, traction response and the neonates' Apgar score were compared between the two groups. The levels of interleukin‑2 (IL‑2), tumor necrosis factor‑α (TNF‑α), IL‑4 and IL‑10 in the blood of mothers and neonates were detected by reverse transcription‑quantitative PCR and ELISA. The results indicated no statistically significant difference in the Apgar score between the two groups. The VAS scores, adverse reactions, reduced traction response, as well as IL‑2 and TNF‑α expression, in the mothers of the combination group were significantly decreased, while IL‑4 and IL‑10 were obviously elevated compared with those in the controls (P<0.05). Furthermore, IL‑2 and TNF‑α levels were markedly declined, whereas IL‑4 and IL‑10 expression was apparently enhanced in the neonates from the combination group compared with those in the control group (P<0.05). In conclusion, dexmedetomidine in addition to lumbar epidural anesthesia reduces the VAS score, adverse reactions and traction response, and promotes the conversion of Th1 cytokines to Th2 cytokines in mothers/nonates after caesarean section.
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August-2019
Volume 18 Issue 2

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Shi W and Zhang P: Effect of dexmedetomidine combined with lumbar anesthesia on Th1/Th2 in maternal patients and neonates undergoing caesarean section. Exp Ther Med 18: 1426-1432, 2019.
APA
Shi, W., & Zhang, P. (2019). Effect of dexmedetomidine combined with lumbar anesthesia on Th1/Th2 in maternal patients and neonates undergoing caesarean section. Experimental and Therapeutic Medicine, 18, 1426-1432. https://doi.org/10.3892/etm.2019.7648
MLA
Shi, W., Zhang, P."Effect of dexmedetomidine combined with lumbar anesthesia on Th1/Th2 in maternal patients and neonates undergoing caesarean section". Experimental and Therapeutic Medicine 18.2 (2019): 1426-1432.
Chicago
Shi, W., Zhang, P."Effect of dexmedetomidine combined with lumbar anesthesia on Th1/Th2 in maternal patients and neonates undergoing caesarean section". Experimental and Therapeutic Medicine 18, no. 2 (2019): 1426-1432. https://doi.org/10.3892/etm.2019.7648