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变应性鼻炎患者外周血嗜酸粒细胞及IL-33水平的表达

发布时间:2018-10-13 11:32
【摘要】:目的:探讨变应性鼻炎(AR)患者外周血嗜酸粒细胞(EOS)计数与IL-33水平的关系及未经任何治疗的AR患者(A组)、经皮下免疫治疗至少1年后AR患者(B组)、经皮下免疫治疗至少1年后伴变应性哮喘(AA)的AR患者(C组)这3组的IL-33水平、嗜酸粒细胞计数、视觉模拟评分(VAS)的关系。方法:选取20例健康者作为对照组参与实验,所有受试者行血细胞分析,统计嗜酸粒细胞数量。采用酶联免疫(ELISA)检测外周血IL-33水平,所得数据用GraphPad.Prism 5.0与SPSS 22.0处理。AR患者行VAS评分并评估鼻部症状。结果:A组IL-33水平高于其他组IL-33水平(P0.05);B组IL-33水平与C组IL-33水平相比,差异无统计学意义(P0.05);B组和C组IL-33水平均高于对照组IL-33水平(P0.05);A组嗜酸粒细胞计数高于其他组,各组间相互比较嗜酸粒细胞计数差异无统计学意义(P0.05);A组VAS评分高于B组VAS评分(P0.05);A组VAS评分与C组VAS评分比较差异无统计学意义(P0.05);B组VAS评分与C组VAS评分比较差异无统计学意义(P0.05)。经皮下免疫治疗(SCIT)至少1年后AR患者自觉鼻塞、流清涕、打喷嚏等症状均有明显减轻。Spearman检验AR患者IL-33水平与嗜酸粒细胞计数呈弱正相关(P0.05,r=0.287)。结论:SCIT对AR疗效明显,可缓解患者临床症状,还可降低患者IL-33水平和外周血嗜酸粒细胞计数。
[Abstract]:Objective: to investigate the relationship between eosinophil (EOS) count and IL-33 level in peripheral blood of patients with allergic rhinitis (AR) and the patients with AR without any treatment (group A), AR patients (group B) after subcutaneous immunotherapy for at least one year, and subcutaneous immunotherapy. At least a year later, the IL-33 levels in the three groups of AR patients with allergic asthma with (AA) (group C), The relationship between eosinophil count and visual analogue score (VAS). Methods: 20 healthy subjects were selected as control group. All subjects were analyzed with blood cells to count the number of eosinophils. The level of IL-33 in peripheral blood was detected by Elisa (ELISA). The data were treated with GraphPad.Prism 5.0 and SPSS 22.0. VAS score and nasal symptoms were evaluated in AR patients. Results: the level of IL-33 in group A was higher than that in other groups (P0.05 IL-33 level in); B group was higher than IL-33 level in C group (P0.05) IL-33 level in); B group and C group was higher than that in control group (P05); A group was higher than other groups in eosinophil count. There was no significant difference in eosinophil count between each group (P0.05); A group VAS score was higher than B group VAS score (P0.05); A group VAS score and C group VAS score difference was not statistically significant (P0.05); B group VAS score and C group VAS score comparison no significant difference (P0.05). After subcutaneous immunotherapy for at least one year, the symptoms of AR patients such as nasal obstruction, snot and sneezing were significantly alleviated. Spearman test showed a weak positive correlation between IL-33 level and eosinophil count in AR patients (P 0.05 rr 0.287). Conclusion: SCIT is effective in treating AR. It can relieve clinical symptoms, decrease IL-33 level and eosinophil count in peripheral blood.
【作者单位】: 广西中医药大学研究生学院;广西壮族自治区人民医院耳鼻咽喉科;
【基金】:国家自然科学基金资助项目(No:81460097) 广西自然科学基金(No:2017JJA140333Z) 广西壮族自治区卫生厅自筹经费科研课题(No:Z2016643)
【分类号】:R765.21

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