糖尿病患者口腔颌面部间隙感染后细胞免疫状态的变化研究

Study on change of cellular immunity of diabetic mellitus patients with oral and maxillofacial space infections

  • 摘要: 目的 研究糖尿病患者口腔颌面部间隙感染后细胞免疫状态的变化,为该类患者感染的控制及机体不良状态的调节提供依据。方法 选取2013年2月-2015年9月于医院进行诊治的34例糖尿病患者口腔颌面部间隙感染为A组,选取同期34例糖尿病无口腔颌面部间隙感染患者为B组,34例口腔颌面部间隙感染无糖尿病患者为C组,34名健康体检者为D组; 比较4组受试人员的细胞免疫指标相关血清指标,并比较A组不同感染程度与糖化血红蛋白水平患者的检测结果,数据采用SPSS 13.0软件进行分析。结果 A组患者CD3+CD4+、CD3+、CD4+及CD4/CD8水平均低于B、C、D组,B组及C组患者的水平则低于D组,且A组中不同感染程度与糖化血红蛋白水平患者的检测结果,差异有统计学意义(P<0.05)。结论 糖尿病合并口腔颌面部间隙感染患者细胞免疫的变化较大,且不同感染程度与糖化血红蛋白水平也存在较大差异,应引起重视。

     

    Abstract: OBJECTIVE To explore the change of cellular immunity of diabetic mellitus patients with oral and maxillofacial space infections so as to provide guidance for control of the infections and regulation of body's bad state. METHODS A total of 34 diabetic mellitus patients complicated with oral and maxillofacial space infections who were treated in hospitals from Feb 2013 to Sep 2015 were assigned as the group A, meanwhile, 34 diabetic mellitus patients without oral and maxillofacial space infections were set as the group B, 34 oral and maxillofacial space infections without diabetic mellitus were assigned as the group C, and 34 healthy people who received physical examination were set as the group D.The related serological cellular immunity indicators were compared among the four groups of participants, the test results were compared among the patients in the group A with various degrees of infections and various levels of glycated hemoglobin, and the statistical analysis of data was performed with the use of SPSS 13.0 software. RESULTS The levels of CD3+CD4+, CD3+, CD4+, and CD4/CD8 were lower in the group A than in the group B, C, and D, which were lower in the group B and C than in the group D.There was significant difference in the test results among the patients in the group A with various degrees of infections and various levels of glycated hemoglobin (P<0.05). CONCLUSION There is significant change in the cellular immunity of the diabetic mellitus patients with oral and maxillofacial space infections; the degree of infections and level of glycated hemoglobin vary significantly among the diabetic mellitus patients with oral and maxillofacial space infections, to which the great attention should be paid to.

     

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