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糖尿病肢端坏疽患者T细胞亚群的变化与临床意义
引用本文:樊建开,徐兆东,蔡惠群,杨协珍,薛慈民.糖尿病肢端坏疽患者T细胞亚群的变化与临床意义[J].中国中西医结合外科杂志,2003,9(1):12-14.
作者姓名:樊建开  徐兆东  蔡惠群  杨协珍  薛慈民
作者单位:上海中医药大学附属曙光医院中医外科,上海200021
摘    要:目的  探讨糖尿病肢端坏疽患者T淋巴细胞亚群的变化与肢端坏疽程度及感染程度的关系。 方法  采用流式细胞仪检测CD3、CD4 、CD8。 结果  糖尿病肢端坏疽患者CD8细胞明显升高。CD4 /CD8显著降低 ,与对照组比较均有显著性差异 (P <0 0 1) ,白细胞较高组CD3较对照组降低 (P <0 0 5 )。不同坏疽程度组间各项指标无明显差异 (P >0 0 5 ) ,不同感染程度组间白细胞较高组CD3明显降低 (P <0 0 5 )。 结论  糖尿病肢端坏疽患者存在细胞免疫异常 ,感染程度重者尤为明显

关 键 词:糖尿病  肢端坏疽  T细胞亚群  临床意义
文章编号:1007-6948(2003)01-0012-03
修稿时间:2002年5月27日

The Changes of T Lymphocyte Subsets in Patients with Diabetic Acromelic Gangrene and Its Clinical Significance
Fan Jiankai,Xu Zhaodong,Cai Huiqun,et al..The Changes of T Lymphocyte Subsets in Patients with Diabetic Acromelic Gangrene and Its Clinical Significance[J].Chinese Journal of Surgery of Integrated Traditional and Western Medicine,2003,9(1):12-14.
Authors:Fan Jiankai  Xu Zhaodong  Cai Huiqun  
Abstract:Objective To investigate the changes of T lymphocyte subsets in patients with diabetic acromelic gangrene and the relationship between different degress of diabetic gangrene and infection Methods Serum CD 3?CD 4?CD 8 cells were determined by flow cytometry Results CD 8 cells were increased in patients with diabetic gangrene,and CD 4/CD 8 was decreased.There were differences between patients and normal controls( P<0 01 ).There were no differences in degrees of gangrene( P>0 05 ).CD 3 cells were decreased in group with higher leucocyte ( P<0 05 ).Conclusion The abnormal of cellular immunity is existed in patients with diabetic gangrene,especially in patients with more severe infection.
Keywords:diabetes mellitus  acromelic gangrene  T lymphocyte subsets
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