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肺炎支原体肺炎患儿免疫与肝肾功能的相关性及炎琥宁治疗作用的研究。

The Association of Immune and Liver Functions in Mycoplasma Pneumoniae Pneumonia Children with Andrographolide Sulfonate's Therapy.

出版信息

Clin Lab. 2023 Aug 1;69(8). doi: 10.7754/Clin.Lab.2022.220605.

Abstract

BACKGROUND

The aim of this study was to explore the association of immune and liver functions' alteration in mycoplasma pneumoniae pneumonia (MPP) children with the therapeutic effect of andrographolide sulfonate's curative outcome.

METHODS

From January 2019 to April 2021, a group of 102 MPP child patients was divided into severe and mild cases in the light of the disease's severity, and involvement of 57 healthy child patients during the identical period was as the control. Comparison of immune function among three groups [immunoglobulin G (IgG), immunoglobulin A (IgA), immunoglobulin M (IgM)] and liver function indexes [Alanine aminotransferase (ALT), aspartate aminotransferase (AST), γ-glutamyl transferase (GGT)] was to analyze its association and assessment value for the illness's severity.

RESULTS

IgA and IgM in MPP child patients were declined with the illness's severity, while ALT, AST and GGT were elevated with it (p < 0.05). AUC of combined detection of immune and liver function indexes in assessing MPP's severity in children was augmented vs. each index's alone examination (p < 0.05). IgA was negatively associated with MPP's severity in children, while ALT, AST, and GGT were positively associated with it (p < 0.05). IgA in the effective was augmented vs. the noneffective, while ALT, AST, and GGT were declined vs. the noneffective (p < 0.05).

CONCLUSIONS

The immune and liver functions of MPP child patients are associated with the illness's severity and provide an assessment value for the disease's severity and Andro-S's curative outcome.

摘要

背景

本研究旨在探讨肺炎支原体肺炎(MPP)患儿免疫和肝功能改变与穿心莲内酯磺酸盐治疗效果的关系。

方法

本研究选取 2019 年 1 月至 2021 年 4 月期间 102 例 MPP 患儿,根据病情严重程度分为重症和轻症,并选取同期 57 例健康儿童作为对照组。比较三组免疫功能[免疫球蛋白 G(IgG)、免疫球蛋白 A(IgA)、免疫球蛋白 M(IgM)]和肝功能指标[丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、γ-谷氨酰转移酶(GGT)],分析其与疾病严重程度的关系及其评估价值。

结果

MPP 患儿 IgA 和 IgM 随病情严重程度降低,而 ALT、AST 和 GGT 随病情严重程度升高(p<0.05)。联合检测免疫和肝功能指标评估儿童 MPP 严重程度的 AUC 高于各指标单独检测(p<0.05)。IgA 与儿童 MPP 严重程度呈负相关,而 ALT、AST 和 GGT 与儿童 MPP 严重程度呈正相关(p<0.05)。有效组 IgA 高于无效组,而 ALT、AST 和 GGT 低于无效组(p<0.05)。

结论

MPP 患儿的免疫和肝功能与病情严重程度相关,为病情严重程度和穿心莲内酯磺酸盐治疗效果的评估提供了价值。

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