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肾脏病病人红细胞免疫功能及sIL-2R水平的变化

THE CHANGES OF ERYTHROCYTE IMMUNE FUNCTION AND SOLUBLE INTERLEUKIN 2 RECEPTOR IN PATIENTS WITH KIDNEY DISEASES

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【作者】 刘丽秋刘成玉张恩福赵震霄徐岩

【Author】 Liu Liqiu, Zhang Enfu, Liu Chengyu, et al Department of Diagnostic, Qingdao Medical College,Qingdao 266021

【机构】 青岛医学院诊断学教研室文登市人民医院汪疃分院青岛医学院附属医院肾病科青岛医学院附属医院肾病科 青岛266021青岛266021

【摘要】 ①目的 了解肾脏病病人红细胞免疫功能和血清可溶性白细胞介素-2受体(sIL—2R)水平的变化。②方法 采用红细胞花环实验和双抗体夹心ELISA法,检测了53例肾脏病病人红细胞C3b受体花环率(E-C3bRR)、红细胞C3b花环形成促进率(RFER)和抑制率(RFIR)、循环免疫复合物(CIC)、红细胞免疫复合物花环率(E-ICR)和sIL-2R水平的变化。③结果肾脏病病人E-C3bRR,RFER明显低于对照组,而CIC,E-ICR,RFIR和sIL-2R明显高于对照组,差异均具有极显著性(t=3.0114.650,p均<0.01)。尿毒症病人以上各检测指标的变化较慢性肾炎病人更明显(t=3.6264.535,p均<0.001)。④结论肾脏病病人血清sIL—2R水平升高和红细胞免疫功能降低与其病情严重程度有关。

【Abstract】 Objective To evaluate the changes of erythrocyte immune function and serum soluble interleukin 2 receptor (sIL-2R) level in patients with kidney diseases. Method By using erythrocyte rosette tests and double antibody sandwich ELISA methods, we measured the changes of erythrocyte C3b receptor rosette rate (E-C3bRR), erythrocyte C3b receptor rosette forming effective rate (RFER) , inhibitory rate (RFIR), circulation immune complex(CIC) , erythrocyte immune complex rosette rate(E-ICR) and sIL-2R in patients with kidney diseases. Result The E-C3bRR, RFER were significantly lower, and CIC, E-ICR, RFIR and sIL-2R were all significantly higher in the patients than in the controls(t = 3. 011~4- 650, P<0. 01). These variations in uremia patients were more obvious than in the nephritis patients (t = 3. 626~4. 535, P<0. 001). Conclusion The increase of sIL-2R level and the decrease of erythrocyte immune function may be related to the changes of kidney disease conditions.

  • 【分类号】R692
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