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儿童紫癜性肾炎体液免疫状态分析
引用本文:丁娟娟,何庆南,张建江,易著文,关凤军.儿童紫癜性肾炎体液免疫状态分析[J].临床心身疾病杂志,2006,12(2):84-86.
作者姓名:丁娟娟  何庆南  张建江  易著文  关凤军
作者单位:410011,湖南·长沙,中南大学湘雅二医院小儿肾脏病研究室;410011,湖南·长沙,中南大学湘雅二医院小儿肾脏病研究室;410011,湖南·长沙,中南大学湘雅二医院小儿肾脏病研究室;410011,湖南·长沙,中南大学湘雅二医院小儿肾脏病研究室;410011,湖南·长沙,中南大学湘雅二医院小儿肾脏病研究室
摘    要:目的探讨紫癜性肾炎患儿的体液免疫状态及其发病机制。方法对39例紫癜性肾炎患儿及30例健康儿童的血清采用全自动生化分析仪进行IgG、IgA、IgM、C3、C4检测;紫癜性肾炎患儿另行肾脏病理检查与诊断。比较紫癜性肾炎患儿与健康儿童血清免疫球蛋白及补体的差异性.以及紫癜性肾炎患儿肾脏损害与免疫紊乱的相关性。结果紫癜性肾炎患儿血清IgG、IgA水平明显高于健康儿童.而IgM、C3、C4低于健康儿童(P〈0.05或0.01)。紫癜性肾炎患儿病理级别间血清免疫球蛋白及补体差异均无显著性(P〉0.05)。结论紫癜性肾炎患儿存在严重的免疫功能紊乱.肾脏损害程度似与免疫紊乱无育接相关性。

关 键 词:紫癜性肾炎  体液免疫  免疫球蛋白  补体  发病机制
文章编号:1672-187X(2006)02-084-03
收稿时间:2006-02-22
修稿时间:2006年2月22日

Analyses of humoral immunity state in children with the Henoch-Schonlein purpura nephritis
Ding Juanjuan , He Qingnan ,Zhang Jianjiang , et al.Analyses of humoral immunity state in children with the Henoch-Schonlein purpura nephritis[J].Journal of Clinical Psychosomatic Diseases,2006,12(2):84-86.
Authors:Ding Juanjuan  He Qingnan  Zhang Jianjiang  
Abstract:Objective To explore the humoral immunity state and pathogenesis in children with Henoch-Schonlein purpura nephritis (HSPN). Methods Serum IgG, IgA, IgM, C3 and C4 levels were detected in 39 children with HSPN and 30 healthy ones using full-automatic biochemistry analyzer. Results Serum IgG and IgA levels of patients were significantly higher, while IgM, C3 and C4 lower compared to controls(P<0.05 or 0.01). There were no significant differences in immunoglobulin and complements as for pathological grades(P>0.05).Conclusion There was severe disturbance of immunologic function in children with HSPN, and degrees of renal damage may not be directly related to immunologic disturbance.
Keywords:Henoch-Schonlein purpura nephritisl humoral immunity  immunoglubulin  complementl pathogenesis
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