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支气管哮喘合并支原体肺炎感染患儿治疗前后血清炎症标志物及免疫功能的变化及其临床意义

Changes of serum inflammatory markers and immune function in children with bronchial asthma complicated with mycoplasma pneumoniae infection before and after treatment and their clinical significance.

作者信息

Shi Xiao-Jun, Tian Hui-Min, Li Cai-Xia, Wei Jin-Kai

机构信息

Xiao-jun Shi Department of Pediatrics, Beijing JingDu Children's Hospital, Changping District, 102200 Beijng, China.

Hui-min Tian Department of Pediatrics, Baoding First Central Hospital, Baoding 071000, Hebei, China.

出版信息

Pak J Med Sci. 2025 May;41(5):1506-1510. doi: 10.12669/pjms.41.5.11067.

Abstract

OBJECTIVE

To evaluate the changes of serum inflammatory markers and immune function in children with bronchial asthma complicated with Mycoplasma pneumoniae infection before and after treatment.

METHODS

This was a retrospective study. Thirty children with bronchial asthma complicated with mycoplasma pneumoniae infection were selected as the experimental group and 30 healthy children as the control group at Baoding First Central Hospital from December 2022 to December 2023. The levels of inflammatory markers interleukin-2(IL-2), interleukin-4(IL-4), Serum Amyloid A(SAA), Procalcitonin(PCT), immune markers immunoglobulin A(IgA), immunoglobulin G(IgG), immunoglobulin M(IgM) and CD4 were detected before and after treatment, and the changes were compared with those of the control group.

RESULTS

Compared with the control group before treatment, the levels of immune markers, inflammatory markers IL-2, IL-4 and SAA in the experimental group were significantly different (p < 0.05). However, there was no significant difference between the two groups in PCT (p > 0.05) level. In the experimental group, except PCT, the levels of other inflammatory markers and immune markers were significantly improved after treatment, and the difference was statistically significant (P < 0.05).

CONCLUSION

Inflammatory markers and immune function of children with bronchial asthma complicated with Mycoplasma pneumoniae infection were abnormal to a certain extent, and the improvement was obvious after treatment. The result may have certain reference value for diagnosing the disease and determining its treatment effects.

摘要

目的

评估支气管哮喘合并肺炎支原体感染患儿治疗前后血清炎症标志物及免疫功能的变化。

方法

本研究为回顾性研究。选取2022年12月至2023年12月在保定市第一中心医院就诊的30例支气管哮喘合并肺炎支原体感染患儿作为实验组,另选30例健康儿童作为对照组。检测治疗前后炎症标志物白细胞介素-2(IL-2)、白细胞介素-4(IL-4)、血清淀粉样蛋白A(SAA)、降钙素原(PCT),免疫标志物免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)及CD4的水平,并与对照组进行比较。

结果

与治疗前对照组相比,实验组免疫标志物、炎症标志物IL-2、IL-4及SAA水平差异有统计学意义(p<0.05)。但两组PCT水平差异无统计学意义(p>0.05)。实验组治疗后除PCT外,其他炎症标志物及免疫标志物水平均显著改善,差异有统计学意义(P<0.05)。

结论

支气管哮喘合并肺炎支原体感染患儿炎症标志物及免疫功能存在一定程度异常,治疗后改善明显。该结果对疾病诊断及疗效判定有一定参考价值。

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