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反复呼吸道感染儿童T细胞亚群及免疫球蛋白变化临床分析
引用本文:张文俊,吴超雄,王清清.反复呼吸道感染儿童T细胞亚群及免疫球蛋白变化临床分析[J].中国儿童保健杂志,2010,18(5).
作者姓名:张文俊  吴超雄  王清清
作者单位:温州市中西医结合医院儿科,浙江,温州,325000
摘    要:目的]探讨对反复呼吸道感染患儿进行CD3+、CD4+、CD8+淋巴细胞和IgG、IgA、IgM检测的临床意义. 方法]本研究通过检测42例反复呼吸道感染患儿病程初期和恢复期外周血CD3+、CD4+、CD8+淋巴细胞和免疫球蛋白IgG,IgA、IgM的含量变化,并和30例健康儿童比较.结果]RRI组儿童病程初期和恢复期,与健康儿童组比较,CD3+、CD4+及CD4+/CD8+比值均明显降低(P<0.05);RRI组儿童病程初期与恢复期比较,以上几项比值均明显更低(P<0.05).RRI组儿童病程初期和恢复期,与健康儿童组比较,IgG、IgA、IgM含量明显降低(P<0.05);RRI组儿童病程初期与恢复期比较,IgG、IgA、IgM含量均明显更低(P<0.05).结论]RRI患儿存在细胞免疫和体液免疫失调,临床可以通过检测RRI患儿外周血T淋巴细胞亚群CD3+、CD4+及CD4+/CD8+比值和IgG、IgA、IgM含量,作为评价RRI患儿病情严重程度的依据和临床治疗是否有效的指标.

关 键 词:反复呼吸道感染  T细胞亚群

Clinical analysis of T cell subgroup and immunoglobulin in children with recurrent respiratory tract infection
ZHANG Wen-jun,WU Chao-xiong,WANG Qing-qing.Clinical analysis of T cell subgroup and immunoglobulin in children with recurrent respiratory tract infection[J].Chinese Journal of Child Health Care,2010,18(5).
Authors:ZHANG Wen-jun  WU Chao-xiong  WANG Qing-qing
Institution:ZHANG Wen-jun,WU Chao-xiong,WANG Qing-qing.(Department of Pediatrics,Wenzhou Intergated Traditional Chinese and Western Medicine Hospital,Wenzhou,Zhejiang 325000,China)
Abstract:Objective] To explore clinical significance of detecting T-lymphocyte subsets(CD3+,CD4+,CD8+)and immunoglobulins(IgG,IgA,IgM)in children with recurrent respiratory tract infection(RRI).Method] Levels of T-lymphocyte subsets and immunoglobulins in peripheral blood were measured in 42 cases of children with RRI during the early and recovery stage of RRI,and compared with those in the control group(30 cases of healthy children).Results] In RRI group,the levels of CD3+,CD4+ and CD4+/CD8+ ratio,as well as IgG...
Keywords:IgG  IgA  IgM
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