肠道病毒71型感染的手足口病患儿

Clinical significance of detection of immunoglobulins and complements in children infected with enterovirus 71 hand, foot, and mouth disease

  • 摘要: 目的 对肠道病毒71型感染的手足口病患儿血清免疫球蛋白及补体水平进行检测,以探讨其检测的临床价值,为临床检测提供依据。方法 选取2011年1月-2015年12月医院收治的感染肠道病毒71型的手足口病患儿120例,将其作为感染组,另选取医院门诊同期体检健康儿童110例,将其作为对照组; 对两组患儿血清免疫球蛋白IgA、IgM、IgG及补体C3、C4水平进行检测并比较。结果 在血清免疫球蛋白方面,感染组患儿IgA、IgG水平与对照组比较均明显降低,IgM水平明显提高,差异有统计学意义(P<0.05); 在补体水平方面,感染组患儿C3、C4水平与对照组比较均明显升高,差异有统计学意义(P<0.05)。结论 感染肠道病毒71型的手足口病患儿的机体免疫功能较为紊乱,通过血清免疫球蛋白及补体水平的检测能够对患儿的免疫功能进行了解,进而有助于临床制定合理的免疫治疗方案。

     

    Abstract: OBJECTIVE To explore the clinical value of detection of serum immunoglobulins and complements levels in children infected with enterovirus 71 hand, foot, and mouth disease so as to provide guidance for clinical test. METHODS Totally 120 children infected with enterovirus 71 hand, foot, and mouth disease who were treated in hospitals from Jan 2011 to Dec 2015 were enrolled in the study and assigned as the infection group, meanwhile, 110 healthy children who received the physical examination in the outpatient department were chosen as the control group.The levels of serum immunoglobulins IgA, IgM, and IgG as well as the levels of complements C3 and C4 were detected and compared between the two groups. RESULTSAs compared with the serum immunoglobulins, the levels of IgA and IgG of the infection group were significantly lower than those of the control group, while the level of IgM was remarkably elevated(P<0.05).As compared with the levels of complements, the levels of C3 and C4 of the infection group were significantly higher than those of the control group(P<0.05). CONCLUSION The children infected with enterovirus 71 hand, foot, and mouth disease are with disorder of body's immune function.It is an effective way to understand the immune function of the children through the detection of levels of serum immunoglobulins and complements so as to formulate reasonable immunotherapy programs.

     

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