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[慢性牙周炎患者物理方法联合治疗前后的免疫状态]

[The state of immune status in patients with chronic periodontitis before and after combined treatment with physical methods].

作者信息

Kutateladze N S

出版信息

Georgian Med News. 2009 Jan(166):32-8.

Abstract

Total of 73 patients with chronic generalized periodontitis at the age from 20 to 62 years have been studied. In 38 patients severe form of pathology was observed, while in 35--an average form. At admission to hospital both general and local immunity disorders were observed in patients; changes in immunological indices progressed with the deterioration of pathology. The combined treatment with the use of zinc electrophoresis and millimetre range waves of electromagnetic field in patients with chronic periodontitis induced the increase of the quantity of T-lymphocytes and their helper substances in peripheral blood, phagocytal number, phagocytal index and the index of digestion of microbes by neutrophils, the content of interleukin-4 in blood serum and saliva. It also induced the increase of the content of secretory immunoglobulin A in saliva. The content of B-lymphocytes in peripheral blood, immunoglobulin of A and G classes, interleukin-12 and -interferon in blood serum and saliva underwent reverse changes. The decrease of immunoglobulin of class M in blood serum was also noted. The trace concentrations of immunoglobulin of M class were revealed in saliva both before and after the treatment. The above mentioned positive process induced in patients with chronic generalized periodontitis by means of combined treatment using zinc electrophoresis and millimetre range waves of electromagnetic field was more expressed at benign form of the pathology.

摘要

对73例年龄在20至62岁之间的慢性广泛性牙周炎患者进行了研究。其中38例患者观察到严重病理形式,35例为中等程度病理形式。入院时患者存在全身和局部免疫紊乱;免疫指标的变化随着病情恶化而进展。对慢性牙周炎患者联合使用锌电泳和毫米波范围的电磁场进行治疗,可使外周血中T淋巴细胞及其辅助物质的数量、吞噬细胞数量、吞噬指数以及中性粒细胞对微生物的消化指数、血清和唾液中白细胞介素-4的含量增加。还可使唾液中分泌型免疫球蛋白A的含量增加。外周血中B淋巴细胞的含量、血清和唾液中A类和G类免疫球蛋白、白细胞介素-12和干扰素的含量则发生相反变化。血清中M类免疫球蛋白含量也有所降低。治疗前后唾液中均检测到微量的M类免疫球蛋白。通过联合使用锌电泳和毫米波范围的电磁场对慢性广泛性牙周炎患者进行治疗所引发的上述积极过程,在病情较轻的形式下表现得更为明显。

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