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[慢性化脓性中耳炎患者免疫紊乱的纠正]

[Correction of immunologic disorders in patients with chronic suppurative otitis media].

作者信息

Iarlykov S A, Poliakova S D, Zemskov A M

出版信息

Vestn Otorinolaringol. 1995 Jan-Feb(1):9-11.

PMID:7725591
Abstract

The absolute and relative content of T- and B-lymphocytes, T-helpers (CD4), T-suppressors (CD8), phagocytosis, complement and immunoglobulins A, M, G in the blood serum was examined in patients with chronic purulent otitis media. The investigation also involved tests on immunological activity of tymoptin (T), sodium nucleinate (SN), prodigiosan (PR), the combination of SN with PR. 148 patients aged 15-56 years were subdivided into 5 groups. In pretreatment immunological status of all the patients the count of T- and B-lymphocytes, T-helpers, phagocytosis were reduced against increased counts of IgM and T-suppressora. All the patients received similar conventional treatment with adjuvant SN (group 2), PR (group III), SN + PR (group 4), T (group 5). The conventional conservative and especially surgical treatment aggravated immunodeficiency. The adjuvant immunocorrectors potentiated the treatment effects which appeared to be most beneficial in group V followed by by groups IV, II and III in diminishing order.

摘要

对慢性化脓性中耳炎患者血清中T淋巴细胞和B淋巴细胞的绝对及相对含量、辅助性T细胞(CD4)、抑制性T细胞(CD8)、吞噬作用、补体以及免疫球蛋白A、M、G进行了检测。研究还涉及对鼓膜素(T)、核酸钠(SN)、灵菌红素(PR)以及SN与PR组合的免疫活性测试。148名年龄在15至56岁的患者被分为5组。在所有患者的治疗前免疫状态中,T淋巴细胞和B淋巴细胞、辅助性T细胞的数量减少,吞噬作用降低,而IgM和抑制性T细胞数量增加。所有患者均接受了类似的常规治疗,并分别辅以SN(第2组)、PR(第3组)、SN + PR(第4组)、T(第5组)。常规保守治疗,尤其是手术治疗加剧了免疫缺陷。辅助性免疫调节剂增强了治疗效果,其中第5组的效果似乎最为显著,其次是第4组、第2组和第3组,效果依次递减。

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