Abstract:
Objective: To investigate the changes in T-Lymphocyte subset and natural killer cell on cancer patients during perioperative period after homologous and autologous blood transfusion.
Methods: 100patiens undergoing radical esophagus and stomach cancer surgery were radomly divided into 2 groups.GroupsⅠreceive 400 ml homologous blood transfusion and Group Ⅱ receive 400 ml autologous blood transfusion.Venous blood samples were taken before surgery,on 1st and 5th postoperative for determination of T-Lymphocyte subsets and natural killer cell counts by flow cytometry.
Results: The number of CD3
+、CD4
+、 CD4
+/CD8
+,NK cell was decreased obviously on1st postoperative compare with preoperation(
P<0.05or
P<0.01).Group Ⅰdecreased more obviously than Group Ⅱ(
P<0.05).The same existed in 5 th postoperative in Group Ⅰ,but the number of CD3
+、CD4
+、CD4
+/CD8
+ NK cell recover in Group Ⅱ.
Couclusions: The homologous tranfusion can bring more serious inhibitory effection than autologous transfusion can do during peroperative period.The patients of autologous transfusion have only a slim inhibitory and a rapid recover.