>
网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
甲型H1N1流感患者外周血淋巴细胞变化
作者:池云  成骢  魏洪霞  赵伟 
单位:东南大学 附属第二医院, 江苏 南京 210003
关键词:甲型H1N1 流行性感冒 淋巴细胞减少 
分类号:R511.7
出版年·卷·期(页码):2012·31·第二期(146-149)
摘要:

目的:寻求甲型H1N1流感患者外周血淋巴细胞与病情的相关性。方法:比较经实时RT-PCR确诊的183例普通型和64例重症型甲型H1N1流感患者外周血淋巴细胞,分析淋巴细胞计数与疾病分型及病情的相关性。结果:治疗前甲型H1N1流感重症型患者淋巴细胞计数[(1.23±0.76)×109 L-1]较普通型患者[(1.50±0.59)×109 L-1]明显偏低(t=2.958,P<0.01);治疗后患者淋巴细胞计数[(1.92±0.79)×109 L-1]较治疗前[(1.27±0.63)×109 L-1]明显上升(t=6.33,P<0.01)。结论:淋巴细胞计数对甲型H1N1流感患者临床分型及病情变化有预测作用。

Objective: To explore the relationship between peripheral lymphocyte counts and severity of the disease among H1N1 influenza patients. Methods: Patients infected with the H1N1 virus, including 183 simple and 64 severe cases, were confirmed by real-time reverse-transcriptase-polymerase-chain-reaction assay. Datas of the peripheral lymphocyte counts and clinical features were collected and evaluated. Results: Peripheral lymphocyte counts in severe patients were significantly lower compared with that in simple group [(1.23±0.76)×109 L-1 vs (1.50±0.59)×109 L-1, t=2.958,P<0.01)]. Total lymphocytes counts significantly increased after treatment[(1.92±0.79)×109 L-1) vs (1.27±0.63)×109 L-1, t=6.33,P<0.01)]. Conclusion: Peripheral lymphocyte counts may be associated with the prognosis of the H1N1 influenza.

参考文献:

[1] 王蓓,张珍.甲型H1N1流感的流行现状与防控对策[J].东南大学学报:医学版,2009,28(6):455-458.
[2] NICHOLS J E,NILES J A,ROBERTS N J.Human lymphocyte apoptosis after exposure to influenza A virus[J].Virol,2001,75(13):5921-5929.
[3] 张衡,王革非,高媛丽,等.H1N1亚型流感病毒诱导外周血单个核细胞凋亡研究[J].生物化学与生物物理进展,2009,36(6):770-775.
[4] DENNEY L,AITKEN C,LI C K,et al.Reduction of natural killer but not effector CD8 T lymphocytes in three consecutive cases of severe/lethal H1N1/09 influenza A virus infection[J].PLoS One,2010,5(5):e10675.
[5] SPRENT J,TOUGH D F.T cell death and memory[J].Science,2001,293(5528):245-248.
[6] PEREZ-PADILLA R,de la ROSA-ZAMBONI D,PONCEDE LEON S,et al.Pneumonia and respiratory failure from swine-origin influenza A (H1N1) in Mexico[J].N Engl J Med,2009,361(7):680-689.
[7] 白燕琼,徐钢,龚自力,等.人感染高致病性禽流感病毒H5N1尸体解剖病理分析[J].中华病理学杂志,2006,35(9):545-548.
[8] 邱海波,郑瑞强,赵伟.SARS患者2例的诊断与治疗[J].东南大学学报:医学版,2009,28(4):211-216.
[9] MAINES T R,SZRETTER K J,PERRONE L,et al.Path ogenesis of emerging avian influenza viruses in mammals and the host innate immune response[J].Immunol Rev,2008,225:68-84.
[10] 宋艳,鲁桂兰,王倩.重症甲型H1N1流感患者俯卧位通气临床观察与护理特点[J].现代医学,2010,38(4):440-442.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 414839 位访问者


copyright ©《东南大学学报(医学版)》编辑部
联系电话:025-83272481 83272483
电子邮件:
bjb@pub.seu.edu.cn

苏ICP备09058364