手足口病患儿病情与体液免疫的相关性研究

Correlation study of the hand foot and mouth disease children and humoral immunity

  • 摘要: 目的 探讨手足口病患儿体液免疫与病情的相关性,为临床诊治手足口病提供参考依据。方法 收集2014年8月-2015年8月诊治214例手足口病患儿临床资料,分析体液免疫检测结果,数据采用采用SPSS 19.0软件进行统计分析。结果 不同性别、不同年龄患儿IgA、IgG、IgM、C3、C4比较差异无统计学意义(P>0.05);重症、有并发症患儿IgM分别为(1.89±0.44)g/L、(1.92±0.53)g/L,轻症患儿IgM为(1.67±0.27)g/L、重症、有并发症与轻症患儿、无并发症患儿比较差异有统计学意义(P<0.05)。结论 手足口病患儿存在体液免疫功能紊乱,主要表现为IgM升高及IgA、IgG降低,病情较重、有脑炎及肺水肿体液免疫紊乱明显加重。

     

    Abstract: OBJECTIVE To discuss humoral immune function in hand foot and mouth disease children and its relationship with the degree of the disease, so as to provide references for clinical treatment of hand foot and mouth disease. METHODS Clinical data of 214 cases of children with hand foot and mouth diseases diagnosed and treated from Aug. 2014 to Aug. 2015 were collected, and their humoral immunity was detected. The results were statistically analyzed by software SPSS219.0. RESULTS The IgA, IgG, IgM, C3 and C4 of children with different sexes and different ages had no significant differences. IgM in severe sickened children and children with complications were (1.89±0.44)g/L and (1.92±0.53)g/L, in mild sickened children was (1.67±0.27)g/L, there was significant difference in the comparative differences between severe sickened children with complications and mild sickened children without complications (P<0.05). CONCLUSION Children with hand foot and mouth disease always have humoral immune function disorder, the main performance is the increase of IgA, while IgM and IgG decrease. When the condition is serious, and with encephalitis and pulmonary edema, the above situation that body fluid immune disorders significantly increase.

     

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