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哮喘患儿体内IL-32、ECP和IL-1的水平变化及意义

Change and significance of serum IL-32,ECP and IL-1 among children with asthma

  • 摘要: 目的 研究血清IL-32、ECP和IL-1水平与儿童哮喘的相关性,为临床治疗和预防儿童哮喘症提供依据。方法 哮喘症患儿74例(男50例、女24例),平均年龄(4.1±1.6)岁,分为急性发作组32例、治疗3个月组19例和治疗6个月组23例;正常组25例(男16例、女9例),平均年龄(3.98±1.46)岁。采集所有研究对象外周非抗凝静脉血,分离血清,ELISA法检测血清IL-32、ECP和IL-1水平。结果 与正常组比较:(1)急性发作组、治疗3个月组ECP水平显著升高(t=13.926、4.333,P均<0.01),治疗6个月组ECP水平恢复正常(t=1.653,P>0.05);(2)急性发作组、治疗3个月组和治疗6个月组IL-32水平均显著升高(t=12.474、7.734、5.084,P均<0.01);(3)急性发作组、治疗3个月组IL-1水平均显著升高(t=5.523、P<0.05,t=2.345、P<0.05),治疗6个月组IL-1水平恢复正常(t=0.515,P>0.05)。急性发作组、治疗3个月组和治疗6个月组间ECP、IL-32和IL-1水平比较差异均有统计学意义(χ2=122.275、46.366和14.271,P均<0.01)。随着治疗周期增加:(1) ECP和IL-32水平均逐渐降低(q=20.830、15.050和4.307,P均<0.05;q=13.211、8.252和3.940,P均<0.05);(2)急性发作组IL-1水平显著高于治疗3个月组和治疗6个月组(q=7.221、4.893,P均<0.05),治疗3个月组IL-1水平略高于治疗6个月组但差异无统计学意义(q=1.796,P>0.05)。结论 血清IL-32、ECP和IL-1水平与儿童哮喘的发生发展有关,IL-32、ECP和IL-1可以作为评估儿童哮喘治疗效果和预防的指标。

     

    Abstract: Objective To study the correlation between serum levels of IL-32,ECP and IL-1 and childhood asthma,in order to provide basis for clinical cure and preventing childhood asthma.Methods A total of 74 cases asthmatic children were enrolled in this study,and there were 50 males and 24 females,their average age was 4.12 ±1.6.The asthmatic children were divided into acute attack group (Group A,32 cases),after treatment three months group (Group B,19 cases) and after six months treatment group (Group C,23 cases).Twenty-five normal children were treated as the control group (Group D,male 16 cases,female 9 cases,the average age was 3.98 ±1.46).Periphery sera were collected from all the children.The serum levels of IL-32,ECP and IL-1 were detected using enzyme-linked immunospecific assay.Results The levels of ECP in group A and B were significantly higher than that in group D (t=13.926 and 4.333,all P<0.01);There was no significant difference between the levels of ECP in group C and D (t=1.653,P>0.05).The levels of IL-32 in group A,B and C were significantly higher than that in group D (t=12.474,7.734 and 5.084,all P<0.01).The levels of IL-1 in group A and B were significantly higher than that in group D (t=5.523,P<0.01;t=2.345,P<0.05);There was no significant difference between the levels of IL-1 in group C and D (t=0.515,P>0.05).There were significant differences among the levels of IL-32,ECP and IL-1 in group A,B and C (x2=122.275,46.366 and 14.271,all P<0.01).Increasing with the treatment cycle,the levels of IL-32 and ECP decreased gradually (q=20.830,15.050 and 4.307,all P<0.05;q=13.211,80252 and 3.940,all P<0.05);The level of IL-1 in group A was higher than those in group B and C (q=7.221 and 4.893,all P<0.05);There was no significant difference between the levels of IL-1 in group B and C (q=1.796,P>0.05).Conclusion The levels of IL-32,ECP and IL-1 may be concerned with childhood asthma,which can be used as the assessment indexes of therapeutic and preventive efficacy in childhood asthma.

     

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