不同证型复感儿与免疫指标的相关性研究
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1. 浙江中医药大学第二门诊部,浙江杭州 310009;2. 浙江中医药大学附属第三医院儿科,浙江杭州 310005

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R272

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基金项目: 浙江省中医药科学研究基金(2012ZA065) 收稿日期: 2014 - 02 - 23 作者简介: 钟翠萌(1986-),女,江西赣州人,中医师,研究方向:小儿肺系疾病。


Study on the Relationship between Different TCM Syndrome Types of RRTI and Immune Indexes
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1. The Second out-patient Department of Zhejiang Chinese Medicine University, Hangzhou310009, China; 2. Department of Pediatrics, The Third Affiliated Hospital of Zhejiang Chinese Medicine University, Hangzhou310005, China

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    摘要:

    目的探讨非急性感染期肺脾气虚证、脾虚肝旺证复感儿与免疫球蛋白(IgA、IgG、IgM)和T淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+)等免疫指标的相关性,为不同证型的复感儿提供微观辨证指标,以促进中医辨证理论的现代化研究。方法检测150例肺脾气虚证和150例脾虚肝旺证复感儿非急性感染期血清IgA、IgG、IgM及CD3+、CD4+、CD8+、CD4+/CD8+等水平,另选220例健康儿童作为对照分析。结果①与健康儿童对照组相比较,肺脾气虚证和脾虚肝旺证复感儿IgA和IgG水平均降低(P<0.05),CD4+细胞百分率降低(P<0.05),CD8+细胞百分率增高(P<0.05),CD4+/CD8+比值降低,且具有统计学意义(P<0.01),其余指标均无统计学意义(P>0.05);②两中医证型组组间相比较,免疫球蛋白和T淋巴细胞亚群等微观指标均无统计学意义(P>0.05)。结论肺脾气虚证、脾虚肝旺证复感儿非急性感染期体液免疫功能低下,细胞免疫功能紊乱,肺脾气虚证、脾虚肝旺证复感儿与免疫球蛋白、T淋巴细胞亚群等免疫指标间存在一定关联,但不具备正负相关性。

    Abstract:

    Objective To study the relationship of immunoglobulins(IgA, IgG, IgM)、T cell subsets(CD3+, CD4+, CD8+, CD4+/CD8+) and children with recurrent respiratory infection in the Lung-spleen-qi-deficiency, spleen-deficiency-hyperactive-liver-fire. Methods We detected 150 cases in the Lung-spleen-qi-deficiency and 150 cases in the spleen-deficiency-hyperactive-liver-fire of RRTI in no nacute infection period of serum IgA, IgG, IgM and CD3+, CD4+, CD8+, CD4+/CD8+ level. A total of 220 children were selected as health control group. Results ①Compared with healthy control group, the level of IgA, IgG and CD4+ cells in the different types of RRTI group decreased(P<0.05), the percentage of CD8+ cells increased(P<0.05), CD4+/CD8+ ratio decreased, and there was a significant difference(P<0.01). No significant differences were foud in other indexes(P>0.05). ②Compared with the two Chinese medicinesyndromes, the level of IgA, IgG, IgM, CD3+, CD4+, CD8+ and CD4+/CD8+ showed no significant difference(P>0.05). Conclusion In children of recurrent respiratory tract infection(non-acute infection period), the syndrome type of traditional Chinese medicine and immune globulin, T cell subsets in microcosmic indexes have a certain correlation, but no significant positive or negative correlation.

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