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[糖尿病患儿非特异性免疫因子活性及血清免疫球蛋白水平]

[Activity of nonspecific immunological factors and serum immunoglobulin levels in children with diabetes mellitus].

作者信息

Zemliakova Z M, Kravets E B

出版信息

Probl Endokrinol (Mosk). 1981;27(6):6-9.

PMID:7323031
Abstract

The activity of non-specific protection factors (complement titer, lysozyme level, completed phagocytosis index and serum immunoglobulin (IG) concentration) was studied in 100 children, aged 3 to 14 years: 70 with diabetes mellitus and 30 normal subjects. The results obtained indicate a decreased reactivity of the child organism in diabetes mellitus, the reduction degree being directly proportional to the main process severity and decompensation extent. Serum IG level in children, suffering from diabetes mellitus, is disturbed, i.e. high IgA concentration is often seen in the presence of normal IgM level and normal or decreased IgG content. Disimmunoglobulinemia is intensified within decompensation phase, depending on the pathological process duration and severity. The reduced IgG level in patients with severe diabetes apart from lower indices of non-specific immunity, stipulates pred disposition of children with diabetes mellitus to the secondary infection development. The indices studied may be used not only for characterizing the body immunobiological reactivity and protective mechanisms, but also for determining the disease severity and form.

摘要

对100名3至14岁儿童进行了非特异性保护因子(补体滴度、溶菌酶水平、完全吞噬指数和血清免疫球蛋白(IG)浓度)活性的研究:其中70名患有糖尿病,30名是正常受试者。所获得的结果表明糖尿病患儿机体的反应性降低,降低程度与主要病程的严重程度和失代偿程度成正比。患糖尿病儿童的血清IG水平受到干扰,即在IgM水平正常、IgG含量正常或降低的情况下,常可见IgA浓度升高。在失代偿期,根据病理过程的持续时间和严重程度,免疫球蛋白血症会加重。重度糖尿病患者IgG水平降低,除了非特异性免疫指标较低外,还表明糖尿病患儿易发生继发性感染。所研究的指标不仅可用于表征机体的免疫生物学反应性和保护机制,还可用于确定疾病的严重程度和类型。

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