The effect of anesthesia method on the distribution of leukocyte elements and neutrophil/lymphocyte ratio in elective cesareane sections Distribution of leukocyte

Abstract

Aim: in this study, we aimed to investigate whether the anesthesia method in cesarean sections (CS) affects the distribution of leukocyte elements and the neutrophil/lymphocyte ratio (NLR).

Material and Methods: In our retrospective study, 99 patients with general anesthesia (GA) and 87 patients with spinal anesthesia (SA) with elective CS were included. Preoperative and postoperative 24th-hour blood samples were evaluated. The distribution of leukocyte elements and NLR were compared preoperatively and postoperatively.Results: The rate of neutrophils was 72.31% +/- 6.25 preoperatively and 82.46 +/- 4.96% postoperatively. This change was statistically significant (p = 0.00). There was no significant difference between the two groups in neutrophils, lymphocytes, monocytes, basophils, and NLRs in the postoperative period.There was a significant difference in eosinophil distribution and eosinophil-lymphocyte ratio (ELR) between postoperative groups (p = 0.03, p = 0.04). In the postoperative period, the eosinophil rate was lower in the GA group.Discussion: In CS anesthesia, there was no significant difference in leukocyte distribution and NLR rates between SA and GA in the postoperative period. Eosinophils and ELR were significantly different between the two groups.