PMID- 25885721 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150418 LR - 20220318 IS - 0259-1162 (Print) IS - 2229-7685 (Electronic) IS - 2229-7685 (Linking) VI - 7 IP - 1 DP - 2013 Jan-Apr TI - Effect of tramadol on perioperative immune function in patients undergoing gastric cancer surgeries. PG - 54-7 LID - 10.4103/0259-1162.113992 [doi] AB - BACKGROUND: A prospective randomized controlled trial was designed to observe the effect of tramadol on T-lymphocyte subsets, activated T cell and natural killer (NK) cells of patients undergoing gastric cancer surgeries. SUBJECTS AND METHODS: Thirty patients undergoing elective gastric cancer surgeries under general anesthesia were randomly divided into two groups. Before anesthesia induction, Group I did not receive any drugs and Group II received intramuscular tramadol 1 mg/kg. Peripheral venous blood samples were taken before anesthesia, 1 h after incision and postoperation. CD3(+), CD3(+) CD4(+), CD3(+) CD8(+), CD3(-)CD16(+) CD56(+) (NK) cells and CD3(+) human leukocyte antigen (HLA)-DR(+) (activated T cell) were measured by flow cytometer. RESULTS: One hour after incision, CD3(+), CD3(+) CD4+, CD3(+) CD4(+)/CD3(+) CD8(+), CD3(-)CD16(+) CD56(+), and CD3(+) HLA-DR(+) cells in the experimental and control group were significantly decreased compared with their baselines (P < 0.05), while the values of Group I were lower than those of Group II (P < 0.05). After surgery, the values of Group I were lower than their baselines (P < 0.05). But the values of Group II had no significant difference compared with their baselines. CONCLUSION: Tramadol can reduce the decrease of T-lymphocytes subsets and NK cells, thus improve the cellular immune function in the perioperation of gastric cancer. FAU - Zhou, Li-Wen AU - Zhou LW AD - Department of Anesthesiology, Xiangyang Central Hospital, Hubei University of Arts and Science, Hubei Province, China. FAU - Ding, Han-Lin AU - Ding HL AD - Department of Anesthesiology, Xiangyang Central Hospital, Hubei University of Arts and Science, Hubei Province, China. FAU - Li, Ming-Qiang AU - Li MQ AD - Department of Anesthesiology, Xiangyang Central Hospital, Hubei University of Arts and Science, Hubei Province, China. FAU - Jin, Sheng AU - Jin S AD - Department of Anesthesiology, Xiangyang Central Hospital, Hubei University of Arts and Science, Hubei Province, China. FAU - Wang, Xue-Song AU - Wang XS AD - Department of Anesthesiology, Xiangyang Central Hospital, Hubei University of Arts and Science, Hubei Province, China. FAU - Ji, Li-Juan AU - Ji LJ AD - Department of Anesthesiology, Xiangyang Central Hospital, Hubei University of Arts and Science, Hubei Province, China. LA - eng PT - Journal Article PL - India TA - Anesth Essays Res JT - Anesthesia, essays and researches JID - 101578762 PMC - PMC4173499 OTO - NOTNLM OT - Gastric cancer OT - T-lymphocyte subsets OT - killer cells OT - natural OT - tramadol COIS- Conflict of Interest: None declared. EDAT- 2013/01/01 00:00 MHDA- 2013/01/01 00:01 PMCR- 2013/01/01 CRDT- 2015/04/18 06:00 PHST- 2015/04/18 06:00 [entrez] PHST- 2013/01/01 00:00 [pubmed] PHST- 2013/01/01 00:01 [medline] PHST- 2013/01/01 00:00 [pmc-release] AID - AER-7-54 [pii] AID - 10.4103/0259-1162.113992 [doi] PST - ppublish SO - Anesth Essays Res. 2013 Jan-Apr;7(1):54-7. doi: 10.4103/0259-1162.113992.