系统性红斑狼疮继发感染患者淋巴细胞亚群及CD64指数的检测意义分析

Detection significance of lymphocyte subsets and CD64 index for patients with systemic lupus erythematosus secondary infection

  • 摘要: 目的 探讨系统性红斑狼疮继发感染患者淋巴细胞亚群、CD64指数及相关临床指标检测的意义,为临床治疗提供参考依据。方法 选取医院2013年1月-2014年12月临床收治的系统性红斑狼疮患者122例为研究对象,根据患者是否继发感染,将患者分成了感染组和非感染组,各61例,比较两组患者CD64指数及免疫指标。结果 感染组患者CD64指数、PCT、IL-6、TNF-α等指标为(7.73±1.92)、(0.78±0.21)ng/mL、(65.32±21.34)ng/L、(29.93±10.34)pg/mL,均高于非感染组;感染组患者CD3+、CD4+、CD4+/ CD8+、NK细胞等免疫指标水平均低于非感染组,CD8+水平高于非感染组,差异均有统计学意义(P<0.05)。结论 针对上述指标的监测有助于掌握患者的临床感染情况。

     

    Abstract: OBJECTIVE To investigate the detection significance of lymphocyte subsets, CD64 index and related clinical indexes for patients with systemic lupus erythematosus secondary infection, so as to provide references for clinical treatment. METHODS A total of 122 cases of systemic lupus erythematosus in our hospital from Jan. 2013 to Dec. 2014 were chosen as the research objects. According to whether or not with secondary infection, the patients were divided into infection group and non-infection group, with 61 cases in each group. The CD64 index and immune indexes of the two groups were observed and compared. RESULTS The CD64 index, PCT, IL-6, and TNF-αof infection group were (7.73±1.92), (0.78±0.21) ng/mL, (65.32±21.34) ng/L, and (29.93±10.34) pg/mL, which were all higher than those of non-infected group. The immune system indexes of CD3+, CD4+, CD4+/CD8+, and NK cells were all significantly lower than those of non-infected group. The CD8+ level of infection group was significantly higher than that of non-infected group (P<0.05). CONCLUSION The monitoring for these indicators is help to master the clinical infection of patients.

     

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