哮喘儿童血清中IgE.TNF-aJNF-y水平与疾病严重程度的相关性分析
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四川省卫健委科研课题(16PJ1308)


Correlation between serum IgE.TNF-a and INF-y levels and disease severity in children with asthma
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    摘要:

    【摘要】目的探究哮喘儿童血清中免疫球蛋匂E(IgE)、肿瘤坏死因子-a(TNF-a).干扰素-y(INF-y)水平与疾病 严重程度的相关性。方法 收集2017年6月〜2018年6月入院治疗哮喘的患儿118例作哮喘组,同时招募于本院作体 检的健康儿童48例作正常对照组,检测两组儿童血清中IgE.TNF-aJNF-y的含量,分析这些血清因子水平与哮喘严重 程度的相关性。结果 哮喘组患儿血清中IgE.TNF-a水平显著高于对照组,INF-y水平显著低于对照组(P<0.05); 不同气道阻塞程度、哮喘严重程度的哮喘患儿血清中IgE.TNF-aJNF-y水平具有显著性差异;血清中IgE、TNFp水平 分别与气道阻塞程度、哮喘严重程度呈正相关,INF-y水平与气道阻塞程度、哮喘严重程度呈负相关。结论 儿童血清 中IgE.TNF-aJNF-y水平可能参与哮喘的发生发展过程,与气道阻塞程度、哮喘严重程度显著相关,临床检测IgE、 TNF-a.INF-y水平可预测哮喘的发生及其严重程度,有助于哮喘疾病的预防和治疗。

    Abstract:

    【Abstract】 Objective To explore the correlation between the levels of serum immunoglobulin E(IgE) , tumor necrosis factor-«(TNF-«) and interferon-y(INF-y) and disease severity in children with asthma. Methods 118 children patients with asthma admitted to hospital from June 2017 to June 2018 were enrolled in asthma group. Another 48 healthy children who were recruited for physical examination inthehospital were used as normal control group. The serum levels of IgE, TNF-a and INF-y were detected in the two groups. The correlation between these serum factors levels and asthma severity was analyzed. Results The levels of serum IgE and TNF-a in asthma group were significantly higher than those in control group while the INF-y level was significantly lower than that in control group(P<0.05). There were significant differences in the serum levels oflgE, TNF-a and INF-y among asthma children patients with different airway obstruction and asthma severity. The levels of serum IgE and TNF-a were positively correlated with airway obstruction degree and asthma severity, and the level of INF-y wasnegatively correlated with airway obstruction degree and asthmaseverity. Conclusion The levels of serum IgE, TNF-a and INF-y in children may be involved in the occurrence and development of asthma, and they are significantly correlated with the airway obstruction degree and asthma severity. Clinical detection of IgE, TNF-a and INF-y levels can predict occurrence and severity ofasthma, and it contributes to the prevention and treatment of asthma.

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  • 在线发布日期: 2019-10-23
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