儿童支气管哮喘合并甲型流感病毒感染炎症指标水平及其与病情严重程度相关性

Inflammatory indexes of bronchial asthma children complicated with influenza A virus infection and their association with severity of disease

  • 摘要: 目的 探讨儿童支气管哮喘合并甲型流感病毒感染外周血白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、干扰素-α(IFN-α)、嗜酸性粒细胞(EOS)计数水平及其与病情严重程度的关系。方法 选取2023年12月-2025年10月山东第一医科大学附属济南妇幼保健院收治的135例支气管哮喘合并甲型流感病毒感染患儿为感染组,根据病情严重程度分为轻度组45例、中度组50例和重度组40例,同期40例单纯支气管哮喘患儿(非感染组)和40名健康体检儿童(健康对照组),检测并比较各组外周血IL-6、TNF-α、IFN-α、EOS计数水平。结果 与中度组、轻度组、非感染组和健康对照组比较,重度组患儿外周血IL-6水平(85.64±10.27)pg/ml、TNF-α水平(65.41±8.52)pg/ml、EOS计数(0.65±0.12)×109/L均升高(P<0.05); IFN-α水平(12.35±2.84)pg/ml降低(P<0.05)。IL-6、TNF-α及EOS计数与病情严重程度呈正相关(rs=0.724、0.691、0.578,均P<0.001),IFN-α与病情严重程度呈负相关(rs=-0.613,P<0.001)。结论 儿童支气管哮喘合并甲型流感病毒感的外周血IL-6、TNF-α、EOS计数、IFN-α水平与病情严重程度密切相关,联合检测上述指标有助于评估患儿病情严重程度。

     

    Abstract: OBJECTIVE To explore the peripheral blood interleukin-6 (IL-6), tumor necrosis factor-α(TNF-α), interferon-α(IFN-α), eosinophils(EOS)of the bronchial asthma children complicated with influenza A virus infection and observe their association with severity of disease. METHODS A total of 135 bronchial asthma children who were complicated with influenza A virus infection and treated in Jinan Maternity and Child care Hospital Affiliated to Shandong First Medical University from Dec. 2023 to Oct. 2025 were assigned as the infection group, and the patients of the infection group were divided into the mild group with 45 cases, the moderate group with 50 cases and the severe group with 40 cases according to the severity of illness condition. Meanwhile, 40 children with simple bronchial asthma were chosen as the non-infection group, and 40 healthy children who received physical examination were chosen as the healthy control group. The levels of peripheral blood IL-6, TNF-α, IFN-α and EOS were detected and compared among the groups. RESULTS The peripheral blood IL-6, TNF-α and EOS of the severe group were respectively (85.64±10.27)pg/ml, (65.41±8.52)pg/ml and (0.65±0.12)×109/L, higher than those of the mild group, the moderate group, the non-infection group and the healthy control group (P<0.05); the IFN-α level of the severe group was (12.35±2.84)pg/ml, lower than that of the mild group, the moderate group, the non-infection group and the healthy control group(P<0.05). The IL-6, TNF-α and EOS were positively correlated with the severity of disease(rs=0.724, 0.691, 0.578,all P<0.001); the IFN-α was negatively correlated with the severity of disease (rs=-0.613,P<0.001). CONCLUSIONS The peripheral blood IL-6, TNF-α, EOS and IFN-α of the bronchial asthma children complicated with influenza A virus infection are closely associated with the severity of diseases. The joint detection of the above indexes may facilitate the assessment of illness condition of the children.

     

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