[1]宁利佳,任晓红.辅助性T细胞亚群、超敏C-反应蛋白和免疫球蛋白E对患儿哮喘急性发作合并呼吸道病毒感染的诊断价值[J].陕西医学杂志,2022,51(10):1267-1269,1273.[doi:DOI:10.3969/j.issn.1000-7377.2022.10.022]
 NING Lijia,REN Xiaohong.Diagnostic value of helper T cell subsets,hs-CRP and IgE in children with acute asthma attack and respiratory virus infection[J].,2022,51(10):1267-1269,1273.[doi:DOI:10.3969/j.issn.1000-7377.2022.10.022]
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辅助性T细胞亚群、超敏C-反应蛋白和免疫球蛋白E对患儿哮喘急性发作合并呼吸道病毒感染的诊断价值
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年10期
页码:
1267-1269,1273
栏目:
临床研究
出版日期:
2022-10-05

文章信息/Info

Title:
Diagnostic value of helper T cell subsets,hs-CRP and IgE in children with acute asthma attack and respiratory virus infection
作者:
宁利佳1任晓红2
(1.杨凌示范区医院儿科,陕西 杨凌 712100; 2.宝鸡市妇幼保健院儿童呼吸科,陕西 宝鸡 721000)
Author(s):
NING LijiaREN Xiaohong
(Department of Pediatrics,Yangling Demonstration Zone Hospital,Yangling 712100,China)
关键词:
辅助性T细胞亚群 超敏C-反应蛋白 免疫球蛋白E 哮喘 呼吸道病毒感染 相关性
Keywords:
Helper T cell subset High-sensitivity C-reactive protein Immunoglobulin E Asthma Respiratory virus infection Correlation
分类号:
R 562.2
DOI:
DOI:10.3969/j.issn.1000-7377.2022.10.022
文献标志码:
A
摘要:
目的:探讨辅助性T细胞亚群、超敏C-反应蛋白(hs-CRP)和免疫球蛋白E(IgE)在哮喘急性发作合并呼吸道病毒感染患儿中的诊断及预后价值。方法:选择哮喘急性发作合并呼吸道病毒感染患儿72例作为合并组,同期选择单纯哮喘急性发作患儿72例作为对照组。检测合并组和对照组患儿CD4+辅助性T细胞、hs-CRP、IgE含量并进行相关性分析,随访合并组患儿的预后。结果:合并组的CD4+辅助性T细胞比例和IgE含量均显著低于对照组,血清hs-CRP含量显著高于对照组(均P<0.05)。在合并组与对照组患儿中,Pearson分析显示CD4+辅助性T细胞比例、hs-CRP、IgE含量与呼吸道病毒感染存在相关性(均P<0.05)。受试者工作特征(ROC)曲线显示CD4+辅助性T细胞比例、hs-CRP、IgE单项与联合检测预测复发的曲线下总面积为0.742、0.766、0.797、0.876。结论:CD4+辅助性T细胞、hs-CRP和IgE在哮喘急性发作合并呼吸道病毒感染患儿中呈现异常表达情况,与呼吸道病毒感染的发生显著相关。
Abstract:
Objective:To investigate the diagnostic and prognostic value of T helper cell subsets,high sensitivity C-reactive protein(hs-CRP)and immunoglobulin E(IgE)in children with acute asthma attack and respiratory virus infection.Methods:A total of 72 cases of children with acute asthma attack and respiratory virus infection were selected as the combined group,while 72 children with simple acute asthma attack were selected as the control group.The contents of CD4+ helper T cells,hs-CRP and IgE in two groups were detected and correlated,and the prognosis of the combined group was followed up.Results:The proportion of CD4+ helper T cells and IgE content in the combined group were significantly lower than those in the control group,and the serum hs-CRP content was significantly higher than that in the control group(all P<0.05).Pearson analysis showed that the proportion of CD4+ helper T cells,hs-CRP and IgE levels were correlated with respiratory virus infection(all P<0.05).ROC curve analysis showed that the total area under the curve of the proportion of CD4+ helper T cells,hs-CRP,IgE and combined detection for predicting recurrence was 0.742,0.766,0.797 and 0.876.Conclusion:CD4+ helper T cells,hs-CRP and IgE are abnormally expressed in children with acute asthma attack and respiratory virus infection,which is significantly related to the occurrence of respiratory virus infection.

参考文献/References:

[1] 聂 金,张景涛,周仪竟.支气管哮喘合并感染患者其血清PCT、CRP及血小板的变化分析[J].湖南师范大学学报:医学版,2020,17(2):178-181.
[2] 王红鸾,付 强,夏 莺,等.血清hs-CRP及IgE在咳嗽变异性哮喘中的临床意义[J].江西医药,2020,55(5):559-561.
[3] 孔丽梅,李 超,张晓蔚.章丘地区反复呼吸道感染儿童维生素A、E水平与WBC、CRP、Hb联合测定的临床意义[J].中国临床研究,2020,33(4):512-516.
[4] Sun X,Hou T,Cheung E,et al.Anti-inflammatory mechanisms of the novel cytokine interleukin-38 in allergic asthma[J],2020,17(6):631-646.
[5] Tian Y,Tian Q,Wu Y,et al.Vitamin A supplement after neonatal Streptococcus pneumoniae pneumonia inhibits the progression of experimental asthma by altering CD4+T cell subsets[J].Sci Rep,2020,10(1):4214.
[6] 唐文慧,张 伟,李春梅.布地奈德福莫特罗联合孟鲁司特钠治疗支气管哮喘的疗效及对炎症因子水平的影响[J].医学综述,2020,26(12):2493-2497.
[7] 王 莉,王小军.外周血嗜酸性粒细胞与哮喘-慢阻肺重叠的关系研究[J].临床输血与检验,2020,22(2):200-202.
[8] 陈岩岩,张 娜,陈 烨,等.RSV感染毛细支气管炎患儿外周血单核细胞miR-21和FOXP3的表达关系及意义[J].河北医药,2020,42(9):1306-1310.
[9] 刘 莉,张红梅,韩 雪,等.布地奈德联合噻托溴铵治疗对ACOS患者肺功能、免疫功能和炎性因子的影响[J].国际检验医学杂志,2020,41(5):624-628,632.
[10] 朱玉林,高 慧,方露露,等.儿童慢性咳嗽的病因及危险因素分析[J].江苏医药,2020,46(5):491-494.
[11] 王 珊,程亚伟,陈 磊,等.温肺健脾化痰汤配合热敏灸对支气管哮喘慢性持续期痰哮证患者中医证候积分及Th17/Treg平衡的影响[J].陕西中医,2022,43(1):58-61.
[12] 江容飞,付亚玲,王 敏.老年咳嗽变异性哮喘患者中医证候特点及干预研究概况[J].陕西中医,2021,42(2):269-272.
[13] 徐轶俊,齐亚飞,陈健华.支气管哮喘急性发作患者血清sST2水平及其临床意义[J].中国现代医学杂志,2019,29(24):114-117.
[14] 陈 垣,陈华妹,肖一佳,等.特布他林联合孟鲁司特钠治疗支气管哮喘患者效果及对炎性因子和呼吸力学的影响[J].疑难病杂志,2020,19(1):26-29,35.
[15] Xian M,Feng M,Dong Y,et al.Changes in CD4+CD25+FoxP3+ regulatory T cells and serum cytokines in sublingual and subcutaneous immunotherapy in allergic rhinitis with or without asthma[J].Cell Mol Immunol,2020,181(1):71-80.
[16] 王 燕.异丙托溴铵联合不同剂量布地奈德治疗小儿咳嗽变异性哮喘的临床效果比较[J].河南医学研究,2020,29(6):1056-1058.
[17] 陈 伟,杨 揆,郑 龙,等.合并慢性气道疾病的ARDS临床特征及预后影响因素研究[J].现代生物医学进展,2020,20(5):866-870.
[18] 刘春红,完艳勋颜.血清IL-4、hs-CRP、IL-17、IL-33及Ang-2浓度变化在儿童支气管哮喘中的意义[J].实验与检验医学,2019,37(6):1035-1037,1049.
[19] 马立茵,李 静.沙丁胺醇治疗重度哮喘急性发作疗效及对患儿血清TOLL样受体4、核转录因子κB通路的影响[J].陕西医学杂志,2022,51(2):230-234.
[20] 毕潇文,李 静.支气管哮喘合并肺炎支原体感染患儿血清白介素-6、25羟基维生素D、肿瘤坏死因子水平变化临床研究[J].陕西医学杂志,2022,51(1):63-66.

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备注/Memo

备注/Memo:
基金项目:陕西省卫生健康科研基金资助项目(2021E005)
更新日期/Last Update: 2022-10-07