外周血T淋巴细胞亚群联合免疫球蛋白检测在手足口病诊断中的价值

Value of detection of T lymphocyte subsets in peripheral blood combined with immunoglobulin in the diagnosis of hand-foot-mouth disease

  • 摘要: 目的 探讨外周血T淋巴细胞亚群联合免疫球蛋白在手足口病临床诊断中的价值。 方法 选取200例手足口病患者纳入手足口病组,另将同期200名体检者纳入健康对照组,比较疾病检出率、外周血T淋巴细胞亚群和免疫球蛋白水平。 结果 外周血T淋巴细胞亚群联合免疫球蛋白对手足口病的检出率显著高于单项检测(P<0.05); 手足口病组CD3+、CD4+、CD8+、免疫球蛋白A、免疫球蛋白G水平显著低于健康对照组(P<0.05), 2组免疫球蛋白M水平差异无统计学意义(P>0.05); 重症手足口病患者CD3+、CD4+、CD8+、免疫球蛋白A、免疫球蛋白G水平显著低于轻型手足口病患者(P<0.05), 但免疫球蛋白M水平差异无统计学意义(P>0.05)。 结论 外周血T淋巴细胞亚群联合免疫球蛋白检测在手足口病诊断中具有较高的应用价值,还可对疾病严重程度进行准确判定。

     

    Abstract: Objective To investigate the value of detection of T lymphocyte subsets in peripheral blood combined with immunoglobulin in the diagnosis of hand-foot-mouth disease. Methods A total of 200 patients with hand-foot-mouth disease were selected as hand-foot-mouth disease study. In addition, 200 people with physical examinations in the same period were included as healthy control group. The disease detection rate, T lymphocyte subsets in peripheral blood and immunoglobulin levels were compared. Results The detection rate of T lymphocyte subsets in peripheral blood combined with immunoglobulin was significantly higher than that of single test(P<0.05). The levels of CD3+, CD4+, CD8+, immunoglobulin A and immunoglobulin G in hand-foot-mouth disease group were significantly lower than those in healthy control group, and the corresponding indexes of severe hand-foot-mouth disease patients were significantly lower than those in mild patients(P<0.05). There was no significant difference in immunoglobulin M level between healthy control group and hand-foot-mouth disease group, and mild and severe hand-foot-mouth disease patients(P>0.05). Conclusion Combined use of T lymphocyte subsets in peripheral blood and immunoglobulin detection has a higher value in diagnosis of hand-foot-mouth disease, which can accurately determine the severity of the disease.

     

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