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投稿时间:2017-08-23 网络发布日期:2018-03-08
投稿时间:2017-08-23 网络发布日期:2018-03-08
中文摘要: 目的 探讨是否规律抗癫痫治疗对癫痫患者外周血T淋巴细胞水平变化的影响及意义。方法 收集2016年9月至2017年8月黔江民族医院住院及门诊就诊的癫痫患者300例,根据是否服用抗癫痫药物分为未服药组和规律服药组,各150例,同时选取同期门诊健康体检者或志愿者150例为对照组。应用流式细胞仪检测3组患者外周血中CD3+、CD4+、CD8+ T淋巴细胞水平,计算CD4+/CD8+比值;采用免疫透射比浊法测定3组患者血浆免疫球蛋白IgG、IgA、IgM水平。结果 与对照组比较,癫痫患者(未服药组+规律服药组)CD8+T淋巴细胞比例升高,CD3+、CD4+ T淋巴细胞比例及CD4+/CD8+比值降低(P <0.05,P <0.01);与未服药组比较,规律服药组CD3+、CD4+ T淋巴细胞比例及CD4+/CD8+升高,CD8+ T淋巴细胞比例降低(P <0.05,P <0.01)。与对照组比较,癫痫患者(未服药组+规律服药组)血浆IgG、IgA等免疫球蛋白含量降低(P <0.05,P <0.01);与未服药组比较,规律服药组IgA含量升高(P <0.01)。结论 癫痫患者体内普遍存在细胞和体液免疫功能紊乱,规律服用抗癫痫药物可改善免疫功能失衡现象。
Abstract:Objective To investigate the effect and significance of regular anti-epileptic therapy on peripheral blood T lymphocyte levels in epileptic patients. Methods A total of 300 cases of epileptic patients who received treatment in Chongqing Qianjiang National Hospital from September 2016 to August 2017 were divided into non-medication group and regular medication group according to whether they took anti-epilepsy drugs (150 cases each), and 150 cases of healthy examinees or volunteers at the same time were selected as control group. Flow cytometer was used to detect the level of CD3+, CD4+ and CD8+ T lymphocytes in peripheral blood of 3 groups, and the ratio of CD4+ and CD8+ was calculated. Turbidimetric inhibition immuno assay was used to detect the plasma immunoglobulin IgG, IgA and IgM level in of 3 groups′ patients. Results Compared to control group, the levels of CD8+ were higher in epileptic patients (non-medication group and regular medication group), and the level of CD3+, CD4+ and the ratio of CD4+ and CD8+ were lower in epileptic patients (P<0.05, P<0.01). Compared to the non-medication group, the level of CD3+, CD4+ and the ratio of CD4+ and CD8+ were higher in regular medication group, and the level of CD8+ in non-medication group was lower than that in regular medication group (P<0.05, P<0.01). The level of plasma IgA and IgG in epileptic patients were lower than those in control group (P<0.05, P<0.01). The level of IgA in regular medication group was higher than that in non-medication group (P<0.01). Conclusion Cellular and humoral immune dysfunction are generally exist in epileptic patients, and the regular use of anti-epileptic drugs can improve the imbalance of immune function.
文章编号: 中图分类号:R742.1 文献标志码:A
基金项目:重庆市黔江区科技计划项目(2016082)
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引用文本:
杨友高,冉晓刚,郑维军,等.癫痫患者外周血T淋巴细胞水平变化及意义[J].中国临床研究,2017,30(12):1621-1623.
杨友高,冉晓刚,郑维军,等.癫痫患者外周血T淋巴细胞水平变化及意义[J].中国临床研究,2017,30(12):1621-1623.