星状神经节阻滞与免疫的关系

THE INFLUENCE OF STELLATE GANGKLION BLOCK ON IMMUE FUNCTION

本文就星状神经节阻滞（S．G．B）前、后机体免疫功能的变化进行了临床观察。共观察了14例慢性痛症患者。于治疗前及治疗10次后分别采静脉血5ml、肝素化1ml，检测淋巴细胞转换率（LTT）、T淋巴细胞计数（ANAE）、IgA、IgG、IgM、IgD、补体C3、C4、血清B因子（BF）及循环免疫复合物（IC）共10项指标。结果发现：14例患者经S．G．B治疗后上述指标均有不同程度升高，其中四例神经性头痛的患者治疗前细胞免疫功能均偏低，治疗后都有明显提高。从而证明：S．G．B可以提高机体的细胞、体液免疫功能。结合临床治疗效果分析显示：免疫功能的变化与病情呈相关关系，进而建议可将免疫功能检测作为临床评估疗效及病情变化的客观指标之一。

We measured the immunological function before and after stellate ganglion block of 14 potients with chronic pain. Venous blood was taken tO measure ten indices including L. T. T, ANAE, IgA, IgG,IgM, IgD, complement C3, C4, BF and IC before and after ten times of S. G. B. treatment. These indices rised significantly in various degrees. In 4 patients with nervous headache, the immue function was low before therapy and returned to normal level after treatment. It is suggested that S. G. B could improve the body's cellular and humoral immue function. Since clinical data suggested a positive correlation between the severity of symptoms and the change of immue function, the measurement of immue function can be considered as one of the objective indices for appraising clinical results and patient's conditions.