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反复呼吸道感染儿童细胞免疫与体液免疫状况
引用本文:韩瑞珠,郝艳艳,侯安存. 反复呼吸道感染儿童细胞免疫与体液免疫状况[J]. 实用儿科临床杂志, 2007, 22(10): 736-737
作者姓名:韩瑞珠  郝艳艳  侯安存
作者单位:1. 首都医科大学附属北京友谊医院,儿科,北京100050
2. 首都儿科研究所,北京,100020
基金项目:北京中医药管理局资助项目
摘    要:目的探讨反复呼吸道感染(RRI)患儿细胞与体液免疫状况,为临床进行免疫治疗提供依据。方法用流式细胞仪对23例RRI患儿进行外周血淋巴细胞亚群检测;同时进行免疫球蛋白(IgA、IgG、IgM)及补体C3、C4水平检测。结果与健康人群比较,RRI患儿血清IgG及IgA各有1例降低,血清IgM降低7例;补体C3降低3例,C4降低1例。RRI患儿外周血CD8较健康对照组明显增高(P=0),CD4/CD8较健康对照组明显降低(P=0.002)。结论RRI患儿存在体液免疫功能降低,细胞免疫功能失调亦非常显著。

关 键 词:反复呼吸道感染  T淋巴细胞亚群  免疫球蛋白  补体
文章编号:1003-515X(2007)10-0736-02
修稿时间:2007-03-16

Cellular and Humoral Immunity in Children with Recurrent Respiratory Tract Infection
HAN Rui-zhu,HAO Yan-yan,HOU An-cun. Cellular and Humoral Immunity in Children with Recurrent Respiratory Tract Infection[J]. Journal of Applied Clinical Pediatrics, 2007, 22(10): 736-737
Authors:HAN Rui-zhu  HAO Yan-yan  HOU An-cun
Affiliation:1. Department of Pediatrics, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050, China;2. Capital Research Institute of Pediatrics, Beijing 100020, China
Abstract:Objective To explore the cellular and humoral immunity in children with recurrent respiratory tract infection(RRI).Methods Fresh peripheral blood samples were treated and run through the flow cytometry,the percentage of lymphocytes subsets were acquired using Simultest software simulaneously. Immunoglobulin IgA,IgG,IgM and complement C3 and C4 were measured.Results The levels of IgG and IgA in the RRI group were lower than the normal reference value in only 1 patient respectively.The level of IgM decreased in 7cases.Complement C3 and C4 decreased in 3 and 1 patients, respectively.The percentage of CD8 in the RRI group was higher than that in healthy control group(P=0),and the CD4/CD8 was obviously lower than that in healthy control group(P=0.002).Conclusions The disorder of cellular and humoral immunity are existing and cell-mediated immune disorder is more obviously in RRI.The immune-modulation agents are necessary in the prevention and treatment for RRI.
Keywords:recurrent respiratory tract infection   T lymphocyte subsets   immunoglobulin   complement-
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