[1]王菊惠a,袁宝军a,李超a,等.1976年中国唐山地震生存截瘫患者淋巴细胞亚群水平检测研究[J].现代检验医学杂志,2019,34(01):38-40,46.[doi:10.3969/j.issn.1671-7414.2019.01.010]
 WANG Ju-huia,YUAN Bao-juna,LI Chao a,et al.Detection of Lymphocyte Subsets in Patients with Paraplegia after the 1976 Tangshan Earthquake in China[J].Journal of Modern Laboratory Medicine,2019,34(01):38-40,46.[doi:10.3969/j.issn.1671-7414.2019.01.010]
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1976年中国唐山地震生存截瘫患者淋巴细胞亚群水平检测研究()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第34卷
期数:
2019年01期
页码:
38-40,46
栏目:
论著
出版日期:
2019-02-28

文章信息/Info

Title:
Detection of Lymphocyte Subsets in Patients with Paraplegia after the 1976 Tangshan Earthquake in China
文章编号:
1671-7414( 2019)01-038-04
作者:
王菊惠1a袁宝军1a李超1a裴斐 1b李佳强2杨宏秀1a
(1.开滦总医院a.检验科;b.神经外科,河北唐山063000; 2.唐山市截瘫疗养院检验科,河北唐山063003)
Author(s):
WANG Ju-hui1aYUAN Bao-jun1aLI Chao 1aPEI Fei1bLI Jia-qiang2YANG Hong-xiu1a
(1 a .Department of C linical Laboratory;1 b .Department of Neurosurgery,Kailuan General Hospital,Hebei Tangshan 063000,China;2.Department ofClinical Laborat ory,Tangshan Paraplegia Sanatorium,Hebei Tangshan 063003,China)
关键词:
截瘫患者细胞免疫功能T淋巴细胞亚群B淋巴细胞NK细胞
分类号:
R64;R392.11
DOI:
10.3969/j.issn.1671-7414.2019.01.010
文献标志码:
A
摘要:
目的测定1976年中国唐山地震生存截瘫患者外周血淋巴细 胞亚群水平,评估截瘫患者40多年后细胞免疫功能的状况。方法采 集110例截瘫患者静脉血,用流式细胞术测定患者T淋巴细胞亚群(包括CD3+,CD4+Th细 胞,CD8+Ts细胞,CD4+/CD8+),CD19+B淋巴细胞和CD16+CD56+NK细胞,并与正 常对照作比较。同时,按性别分层比较各项目的差异及其之间的相关性。结果 截瘫组与对照组比较,截瘫组CD8+T细胞升高,CD4+/CD8+和CD16+CD56 +NK细胞水平下降,差异均有统计学意义( F=1.375,1.052,0.674,均P <0.05)。 CD3+,CD4+T细胞和CD19+B细胞差异无统计学意义( F=0.800,1.490,0.223,均 P >0.05) 。按性别分层,CD19+B细胞女性组高于男性组,两组结果差异具有统计学意义( F=0.03 8,均P <0.05),其他指标无明显差异( F=0.002~1.808,均P >0.05)。CD4+与CD 8+,CD4+与CD4+/CD8+,CD4+与CD16+CD56+,CD8+与CD4+/CD8+,CD8 +与CD16+CD56+,CD19+与CD16+CD56+均存在显著相关性( P <0.01)。结论唐山地震截瘫患者细胞免疫功能严重紊乱。
Abstract:
Objective The peripheral blood lymphocyte subsets of p araplegic patients after the 1976 Tangshan earthquake in China were measured and the immune function of paraplegic patients after 40 years was evaluated. Methods Venous blood samples were collected from 110 paraplegi c patients.T lymphocyte subsets (including CD3+,CD4+ Th cells and CD8+Ts cells),CD19+ B lymphocyte and CD16+ CD56+ NK cells were measured by flow  cytometry and compared with those of normal controls.The differences among it ems and their correlations were compared by gender stratification.Re sults Compared with the control group,in paraplegic group the level s of CD8+ T cells increased,the levels of CD4+/CD8+ and CD16 +CD56+ N K cells decreased.The difference was statistically significant ( F =1.375,1. 052,0.674,all P <0.05).There was no significant difference in the number of CD3+,CD4+,CD19+ B cells ( F =0.800,1.490,0.223,all P >0. 05).The sex stratified CD19+ B cells were higher in the female group than in  the male group,and the result difference was statistically significant ( F=0 .038,P <0.05),but there was no significant change in other indexes( F =0 .002~1.808,all P >0.05).CD4+ and CD8+,CD4+ and CD4+/CD8+,CD 4+ and CD16+CD56+,CD8+ and CD4+/CD8+,CD8+ and CD16+CD56+,CD 19+ and CD16+CD56+ were significantly correlated ( P <0.01).Conclusion Patients with paraplegia after the Tangshan earthquake have severe cellular immune dysfunction.

参考文献/References:


[1]张玉纯,赵鄞生,李磊,等.截瘫病人免疫机能状况研究[J].中华创 伤杂志,1994,10(2):72-73,29. ZHANG Yuchun,ZHAO Yinsheng,Li Lei,et al.Stu-dy on immunity of par aplegic patients[J].Chinese Journal of Trauma,1994,10(2):72-73,29.
[2]王菊惠,邹吉敏,张淑青,等.唐山地震截瘫患者血钙,免疫球蛋白水平分析[J] .中国煤炭工业医学杂志,2011,14(1):76-77. WANG Juhui,ZOU Jimin,ZHANG Shuqing,et al.Analysis of serum calci um and immunobulin levels in parraplegic patients with Tangshan earthquake[J] .Chinese Jo urnal of Coallndustry Medicine,2011,14(1):76-77.
[3]李超,袁宝军,王冬梅,等.壹期煤工尘肺患者外周血中淋巴细胞亚群和血清中I L-17A水平[J].职业与健康,2014,30(23):3372-3374. LI Chao,YUAN Baojun,Wang Dongmei,et al.Levels of periphe ral blood lymphocyte subgroup and serum IL-17A in stage I coal worker pneumocon iosis patients[J].O ccupation and Health,2014,30(23):3372-3374.
[4]袁宝军,李超,邹吉敏,等.壹期煤工尘肺患者CD19+B淋巴细胞,CD56+CD16+NK细胞表达及补体C3,C4水平[J].工业卫生与职业病,2014,40(3):169-171. YUAN Baojun,LI Chao,Zou Jimin,et al.Levels of CD19+ B lymph ce ll,cell expression of CD56+ CD16+ NK and C3 and C4 complements in stage I c oal worker pheumoconiosis patients[J].Industrial Health and Occupational Diseases,2014 ,40(3):169-171.
[5]刘满合.唐山地震25年截瘫病人死亡原因调查与分析[J].中国伤残医学,2001, 9(4):50-51. LIU Manhe.Investigation and Analysis of the causes of death of para ple gic patients in Tangshan earthquake in 25 years[J].Chinese Journal of Trauma Disability Medicine,2001,9(4):50-51.
[6]孙华.慢性阻塞性肺疾病急性加重期患者外周血T细胞亚群临床分析[J].临床 肺科杂志,2012,17(3):538-540. SUN Hua.Clinical analysis of T-cell substes in peripheral blood of p atients with acute exacerbation of chronic obstructive pulmonary disease[J].J ournal of Clinical Pulmonary Medicine,2012,17(3):538-540.
[7]SISTIGU A,BRACCI L,VALENTINI N,et al.Stong CD8+ T cell antigenicity and immunogenicity of large foreign proteins incorporated in HIV-1 VLPs able t o induce a Nef-dependent activation/maturation of dendritic cells[J].Vaccine ,2011,29(18):3465-3475.
[8]REMICK DG.Pathophysiology of sepsis[J].Am J Pa-thol,2007,170(5):1 435-1444.
[9]江浪进,陈欣.慢性乙型肝炎患者外周血T淋巴细胞亚群变化临床研究[J].中 国实验诊断学,2013,17(7):1235-1237. JIANG Langjin,CHEN Xin.The study on detecting the changes of perip heral b lood T lymphocyte subsets and their correlation with chronic hepatitis B[J].C hinese Journal of Laboratory Diagnosis,2013,17(7):1235-1237.
[10]顾盼瑾,卢小东.肾癌患者外周血T细胞亚群比例的变化及临床意义[J] .江苏大学学报(医学版),2016,26(1):71-73,77. GU Panjin,LU Xiaodong.Changes and clinical significance of T cell subset s in perip heral blood of patients with real cell carcinoma[J].Journal of Jiangsu Univer sity (Medical Edition),2016,26(1):71-73,77.
[11]DE JONG J W,VAN DER BELT-GRITTER B,KOETER G H.Peripheral blood lymph ocyte cell subsets in subjects with chronic obstructive pulmonary disease:assoc ia tion with smoking;IgE and lung function[J].Respir Med,1997,91(2):67-76.
[12]吴长有,刘杰,杨滨燕,等.人外周血NK细胞亚群、表型和生物学特征[J]. 中国免疫学杂志,2005,21(7):483-486. WU Changyou,LIU Jie,YANG Binyan,et al.Phenotypic and biological charac terization of human NK cells in PBMCs[J].Chinese Journal of Immunology,2005 ,21(7):483-486.
[13]BRIGL M,BRENNER M B.CD1:antigen presentation and T cell function[J] .Annu Rev Immunol,2004,22:817-890.
[14]高硕,徐学静,王森,等.免疫性血小板减少患者外周血Treg及Th1,Th2细胞 检测及其临床意义[J].现代检验医学杂志,2018,33(1):112-114. GAO Shuo,XU Xuejing,WANG Sen,et al.Detection and clinical significance of treg and Th1,Th2 cells in peripheral blood of patients with immune thromboc ytopenia[J].Journal of Modern Laboratory Medicine,2018,33(1):112-114.

备注/Memo

备注/Memo:

作者简介:王菊惠(1972-),女,硕士研究生,副主任技师,研究方向:医学检验,流行病与卫生统计学,E-mail:15373588105@163.com。
通讯作者:袁宝军:主任技师,教授,E-mail:ybj25999@163. com。
更新日期/Last Update: 2019-02-28