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胸腺肽联合狂犬病疫苗接种对机体产生γ-干扰素、白细胞介素-2和中和抗体影响的研究
作者:顾小军 沈玲 黄英 
单位:东南大学附属南京第二医院
关键词:中和抗体 γ-干扰素 白细胞介素-2 胸腺肽 狂犬疫苗 快速荧光灶抑制试验 
分类号:
出版年·卷·期(页码):2012·31·第五期(550-554)
摘要:

[摘要]:目的 观察胸腺肽联合狂犬疫苗接种对机体γ-干扰素、白细胞介素-2和中和抗体产生的影响。方法 狂犬病暴露后的人群中Ⅱ级以下咬伤患者,随机分为两组:疫苗组(vac 组)50例,单用狂犬疫苗2.5u,常规免疫程序接种;胸腺肽组(xxt组)50例,给予50mg单剂量肌肉注射+狂犬疫苗2.5u,常规免疫程序接种。在注射前(D0)、注射7日(D7)、注射6月(M6)、注射12月(M12)测定外周血淋巴细胞总数、γ-干扰素、白细胞介素-2水平,注射7日、注射6月、注射12月测定中和抗体水平。结果 1、外周血淋巴细胞总数各组内、组间无差异;2、白细胞介素-2水平:组内比较 疫苗组D0 vs M6(p<0.001);D7 vs M6(p<0.001);M6 vs M12有显著差异(p<0.001);胸腺肽组D0 vs D7/M6(p<0.001),D7 vs M12/M6 (p<0.05/0.001),M6 vs M12(p<0.05/0.001)有显著差异。组间比较:两组间D7时有差异(p<0.05);余无差异3、γ-干扰素水平:组内比较,疫苗组M6 vs D0/D7/M12(p<0.05)有差异;胸腺肽组M6 vs D0/M12, D7 vs M12(p<0.001)有差异;余无差异。组间比较:D7时有差异(p<0.05);4、抗狂犬抗体(RFFIT法):组内比较 疫苗组和胸腺肽组皆在D7 vs M6/M12,M6 vs M12有显著差异(p<0.001);组间比较D7有差异(p<0.05)。结论 1、狂犬疫苗联合单剂量胸腺肽对人体是安全的。2、胸腺肽组在D7中和抗体的水平和阳性率高于疫苗组;但6月和12月的抗体含量没有差异。3、两组接种后体内IL-2和γ干扰素水平皆增高,IL-2增加的程度和抗体的产生量呈正相关。

[Abstract] : Objective To observe the affect of γ-interferon, interleukin-2 and neutralizing antibody levels in patients with rabies vaccination combination with thymosin. Method 100 patients divided in two groups: the vaccine group (vac group): 50 cases of rabies postexposure patients were given vaccine 2.5u, routine immunization procedures; the thymosin group(xxt group): 50 cases were given a single dose of thymosin 50mg each with rabies vaccine 2.5u together. Blood serums were maintained before injection (D0), on the 7th (D7), on 6 month(M6) and 12 month(M12). Γ-interferon, interleukin-2 and neutralizing antibody andLymphocyte count were detected, together. Result 1,Both of the lymphocyte counts were no differences; 2, Interleukin-2 level: Both high points on the M6. Comparison group, in vac groups significant difference was found among D0 vs M6 (p<0.001), D7 vs M6(p<0.001);in xxt group, significant difference were found among D0 vs D7/M12/M6(p<0.001);D7/M6 vs M12(p<0.05/0.001); Other no difference in two groups. comparison between groups: significant difference was found on D7 dot. Other no difference. 3, γ-interferon level: Both high points on the D7. In vac group, significant difference was existed among D0 vs D7/M6 (p<0.001),D7 vs M6/M12(p<0.001);M6 vs M12;in xxt group, difference was found between D0 vs D7/M6(p<0.001),D7 vs M12/M6 (p<0.05/0.001), M6 vs M12(p<0.05/0.001). Other no difference. Comparison between groups: significant difference between two group on D7(p<0.05).4, Neutralizing antibody (RFFIT,NAB) level:Both high points on the M6. Comparison group: There were significant differences between D7 vs. M6/M12, M6 vs. M12 in two groups (p<0.001). Comparison between group: significant difference between D7 (p<0.05). Other no difference. Conclusion 1, Rabies vaccine combined with a single dose of thymosin was safe. 2,The levels and positive rate of neutralizing antibodies in xxt group were better than those in vac group on D7.But no difference on M12.

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