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胆囊切除术后患者外周血T细胞亚群及IL-2、IL-4的检测及分析
引用本文:黄智勇 高文明 倪世宇 孙晶波. 胆囊切除术后患者外周血T细胞亚群及IL-2、IL-4的检测及分析[J]. 中国现代医生, 2007, 45(20): 28-29
作者姓名:黄智勇 高文明 倪世宇 孙晶波
作者单位:大庆油田总医院集团龙南医院普外科 黑龙江大庆163001
摘    要:目的探讨胆囊切除术对患者细胞免疫功能的影响。方法在患者胆囊切除当天清晨和术后20h抽取其外周血,用流式细胞术检测CD3 、CD4 和CD8 ;用ELISA检测IL-2和IL-4水平。结果患者术后CD3 、CD4 含量增加,CD4 /CD8 比值上升,CD8 含量基本无变化;IL-2水平下降,IL-4水平上升。结论胆囊切除后,患者细胞免疫功能紊乱,Th2反应增强、Th1反应受抑制,可能与术后感染的发生有关。

关 键 词:胆囊切除术  T细胞亚群  细胞免疫  感染
文章编号:1673-9701(2007)20-28-02
修稿时间:2007-08-28

Detection of T Lymphocyte Subsets and IL-2, IL-4 in the Patients after Cholecystectomy
HUANG Zhiyong GAO Wenming NI Shiyu SUN Jingbo. Detection of T Lymphocyte Subsets and IL-2, IL-4 in the Patients after Cholecystectomy[J]. , 2007, 45(20): 28-29
Authors:HUANG Zhiyong GAO Wenming NI Shiyu SUN Jingbo
Affiliation:HUANG Zhiyong GAO Wenming NI Shiyu SUN Jingbo Department of General Surgery,Longnan Hospital of Daqing Oil Field General Hospital Group,Heilongjiang 163001
Abstract:Objective To discuss the influence of cholecystectomy on cellular immune function. Methods Peripheral venous blood of the patients was withdrawn to detect the percentage of CD3 , CD4 and CD8 with flow cytometry and the level of IL-2 and IL-4 with ELISA. Results Compared with those before cholecystectomy, the percentages of CD3 , CD4 , the ratio of CD4 /CD8 and the level of IL-2 increased, but the levels of IL-4 decreased significantly(P<0.01). Conclusion Cholecystectomy may cause disorder of cellular immune function in the patients, to be more exact, the Th2 action increase while Th1 decrease,which might be associated with postoperative infection.
Keywords:Cholecystectomy  T lymphocyte subsets  Cellular immune function  Infection
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